Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The heart size is top normal . There has been interval removal of a left - sided subclavian line . There has been an interval increase in the volume of the azygos vein . Tracheostomy tube appears to be in appropriate position . No new focal consolidations concerning for pneumonia identified . There is no pleural effusion . There is no appreciable pneumothorax . The visualized osseous structures are unremarkable .
    OUTPUT:
    
1 . No appreciable pneumothorax . 2 . Interval increase in the diameter of the azygos vein raises concern for either right heart failure or a pericardial effusion . ___ were d / w nurse ___ who agreed to share the information with the team , by Dr . ___ by phone at 1 : ___p on the day of the exam .