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 . There is a persistent moderate - sized loculated right pleural collection with adjacent atelectasis . There is stable left apical thickening with volume loss . The cardiomediastinal and hilar contours are unchanged . Mild pulmonary edema is unchanged . A right - sided Port - A - Cath ends at the cavoatrial junction . A dual - chamber pacemaker is again seen over the left chest , with appropriate position of the leads in the right atrium and ventricle .
    OUTPUT:
    
Persistent moderate size loculated right pleural collection with adjacent atelectasis . CT could be considered for additional evaluation .