Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Allowing for technical differences , there is negligible interval change compared with ___ . Tracheostomy tube is again noted . Again seen are bilateral right - greater - than - left effusions , with underlying collapse and / or consolidation ; prominent but unchanged cardiomediastinal silhouette ; and CHF . No new area of infiltrate is identified . Unusual curvilinear lucency at the right lung apex medially is noted , ? Artifact due to projection . A small pneumothorax is considered less likely . Attention to this area on followup films is requested .
    OUTPUT:
    
1 . No new infiltrate identified . Bibasilar collapse and / or consolidation remains present and the possibility of an associated pneumonic infiltrate can not be entirely excluded . 2 . Curvilinear lucency at right lung apex medially -- question artifact or , less likely , a small pneumothorax . Attention to this area on followup films is requested .