Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Again seen are 2 right - sided chest tubes . Allowing for differences in technique , no gross change is detected compared with ___ at 14 : 55 . Again seen is the large right effusion , likely with underlying collapse and / or consolidation . The degree of opacification may be very slightly worse , but is likely accentuated by technical differences . No right - sided pneumothorax is detected . Mild vascular plethora in the upper zones is again noted . There is minimal increased retrocardiac opacity , but the left hemi diaphragm remains readily visible . No gross left effusion . Marked cardiomegaly with sternotomy wires again noted , similar to the prior film . Left - sided central line again noted , with tip over proximal / mid SVC .
    OUTPUT:
    
Equivocal minimal increased opacification in the right mid and lower zones . Otherwise , I doubt significant interval change .