Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is a new moderate right - sided pleural effusion with underlying atelectasis . Lungs are otherwise clear , there is no pneumothorax . Cardiomediastinal silhouette is within normal limits . Left chest wall single lead pacing device is seen with the tip at the right ventricular apex . Tubing projecting over the anterior right chest wall likely ventriculoperitoneal catheter .
    OUTPUT:
    
Moderate right - sided pleural effusion , new since prior .