Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The patient is status post interval thoracotomy with placement of two left apical chest tubes and a mediastinal drain . There is no obvious pneumothorax . A nasogastric tube enters the stomach , distal tip not visualized . An endotracheal tube ends in the lower trachea above the carina . The heart is mildly enlarged despite the projection . A moderate layering right pleural effusion has increased . Widespread bilateral interstitial and airspace opacities have slightly increased . Left lateral chest wall skin ___ and small postoperative subcutaneous emphysema are new .
    OUTPUT:
    
Status post interval thoracotomy with interval increase in moderate layering right pleural effusion . Slightly increased bilateral interstitial and airspace opacities which are likely due to pulmonary edema .