Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral views of the chest were obtained . Patient has two surgical drains again noted in the right upper quadrant . There is elevation of the right hemidiaphragm with collapse of the right middle and right lower lobes unchanged . A right pleural effusion is again noted . There is persistent aeration in the right upper lobe . Left lung is clear aside from mild subsegmental lower lobe atelectasis . No significant change in cardiomediastinal contour though the right heart border is obscured . Bony structures are intact .
    OUTPUT:
    
Persistent collapse of the right middle and right lower lobes with right pleural effusion .