Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is diffuse emphysema . Right lower lobe consolidation versus atelectasis is as before . Linear scarring versus atelectasis is seen in the left lower lobe . Moderate - sized right pleural effusion is unchanged . A right sided pigtail catheter is in good position . Cardiomediastinal silhouette is normal . There is diffuse demineralization . Dextro convex curvature of the mid to lower thoracic spine and a levoconvex curvature of the lower thoracic spine noted .
    OUTPUT:
    
Unchanged diffuse prominence of lung vasculature , right lower lobe consolidation versus atelectasis and unchanged moderate - sized right pleural effusion with a right - sided chest tube in good position .