Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Large right pleural effusion and atelectasis of the right lower lung , unchanged compared to previous . Left lung is clear . No pneumothorax is seen . Cardiac size is enlarged . Mediastinal silhouette unchanged . . Right IJ catheter again ends in the mid SVC . Left chest wall pacer with leads in the right atrium and right ventricle .
    OUTPUT:
    
No significant interval change in large right pleural effusion and atelectasis of the right lower lung since ___