Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: A portable frontal chest radiograph again demonstrates a left PICC terminating in the mid to low SVC and a right chest pigtail catheter . There has been interval removal of an enteric tube . Lung volumes are low , with increased prominence of the cardiac silhouette and bronchovascular crowding . Even allowing for this , here is mild cardiac enlargement . A right pleural effusion appears similar , moderate in volume . There is associated atelectasis , as well as atelectasis in the left base . No focal consolidation or pneumothorax is identified . The visualized upper abdomen is unremarkable .
    OUTPUT:
    
Unchanged moderate right pleural effusion .