Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Re-accumulation of large right pleural effusion with small aerated portion of right upper lung seen . Right middle lobe and lower lobe collapse also seen . Left lung is clear . Right chest tube again noted . No pneumothorax . The cardiac and mediastinal silhouettes are unchanged . Anterior ribs are not visualized in these plain radiographs . Dedicated oblique views of the ribs may be obtained if high clinical suspicion for rib fractures .
    OUTPUT:
    
Re-accumulation of a large right pleural effusion with associated right middle and lower lobe collapse . Anterior ribs are not visualized in these plain radiographs . Dedicated oblique views of the ribs may be obtained if high clinical suspicion for rib fractures .