Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: AP portable upright view of the chest . A right thoracostomy tube is again seen . There has been interval increase of a small right pleural effusion . A moderate left pleural effusion remains stable . A right PICC terminates at the caval atrial junction . There is no pneumothorax . Multiple bilateral pulmonary nodules , reflective of RCC metastases , are unchanged .
    OUTPUT:
    
1 . Increased small right pleural effusion . 2 . Unchanged moderate left pleural effusion . 3 . No pneumothorax .