Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Portable semi-upright radiograph of the chest demonstrates low lung volumes with resultant bronchovascular crowding . Two chest tubes project over the right hemithorax . There is a small right - sided pleural effusion with adjacent atelectasis . No pneumothorax . Right - sided Port -A - Cath is in unchanged position . The cardiomediastinal and hilar contours are unchanged . The left lung is essentially clear .
    OUTPUT:
    
Small right - sided pleural effusion with adjacent atelectasis . No pneumothorax .