Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: A large right pleural effusion is grossly unchanged since ___ . The left lung is clear . There is no pneumothorax . The cardiac and mediastinal contours are stable . Peripheral displacement of the bowel in the upper abdomen is likely due to known ascites . TIPS identified in the right upper quadrant
    OUTPUT:
    
A large right pleural effusion is grossly unchanged since ___ .