Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Compared with the radiograph from earlier on the same date , there is no significant change in the appearance of the chest . The 2 right - sided pleural chest tubes and other monitoring and support devices are unchanged in position . There is a partially loculated right mid pleural effusion , without pneumothorax . Aeration in the left retrocardiac region is slightly improved . Unchanged old right rib fractures .
    OUTPUT:
    
No significant change since the radiograph from earlier on the same date .