Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Semi-upright portable view of the chest demonstrates tracheostomy tube in unchanged position . Nasoenteric tube is coursing through the esophagus , it s tip out of view . Dual chamber dialysis catheter tip projects over right atrium . Large right pleural effusion is not significantly changed since ___ with mild leftward shift of mediastinal structures . Small segment of aerated right lung is seen in the medial right hemithorax . Left lung remains well aerated without pleural effusion or pneumothorax . Cardiomediastinal silhouette is difficult to discern due to adjacent opacities . Multiple surgical clips and ___ project over right upper abdomen .
    OUTPUT:
    
In comparison to ___ exam , there is no significant change in large right pleural effusion with mild leftward displacement of the mediastinal structures .