Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The heart size remains mildly enlarged with dense mitral annular calcifications . The aorta is tortuous with a stent graft noted within the descending thoracic aorta as well as within the upper abdominal aorta . Medial right upper lobe opacity is compatible with postradiation changes , and appears similar compared to the recent exam . Small right apical pneumothorax appears relatively unchanged . The right basal pleurex catheter is again noted , with a moderate size pleural effusion , increased in the interval . There is adjacent right basilar atelectasis . No left - sided pleural effusion or pneumothorax is demonstrated . There is minimal left basilar atelectasis . No pulmonary edema is present .
    OUTPUT:
    
1 . Interval increase in size of right pleural effusion which is now moderate in size . Small right apical pneumothorax , unchanged . 2 . Unchanged post radiation changes within the medial aspect of the right upper lobe .