Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Large right pleural effusion is new . Cardiac size is top - normal . Extensive left subcutaneous emphysema is new . Pneumopericardium is mild . Left basal and mediastinal tubes are in place . Right PICC tip is in the mid SVC There is no pneumothorax . Pigtail catheter projecting mid line appears lower than in prior study
    OUTPUT:
    
New large right pleural effusion .