Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: A right - sided chest tube is again seen with interval placement of another right - sided chest tube . The heart is severely enlarged . Moderate to large right pleural fluid consistent with hemorrhage in the setting of trauma seen on prior chest radiograph from the same day has significantly decreased . The apical pneumothorax has decreased in size . Multiple right - sided rib fractures are again noted .
    OUTPUT:
    
1 . There has been interval placement of another right - sided chest tube slightly lower in position than the prior . 2 . The right - sided hemorrhagic pleural fluid has significantly decreased . 3 . Right apical pneumothorax has also decreased . 4 . Severe cardiomegaly .