Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There has been interval removal of a left apical chest tube . There is no pneumothorax . ET tube is again seen in stable position . Enteric tube is present with tip in the stomach . A left internal jugular catheter is seen again with tip in the left brachiocephalic vein near the junction with the SVC . Cardiomediastinal and hilar contours are stable . There is a new small to moderate right pleural effusion , and the small left pleural effusion has increased in size . There is no focal opacity concerning for pneumonia . Again seen are multiple displaced left posterior rib fractures .
    OUTPUT:
    
1 . No pneumothorax . 2 . New small to moderate right pleural effusion .