Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The CHF findings may be slightly improved . Otherwise , I doubt significant interval change . Again seen is the right - sided chest tube . No large right effusion . No obvious pneumothorax identified . Right lower chest wall fractures again noted . Cardiomediastinal silhouette is similar to the prior film , with prominence of the right paratracheal soft tissues again noted .
    OUTPUT:
    
As above . .