Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Tracheostomy tube PEG tube , right IJ line , with tip over distal most SVC , and right - sided chest tube are similar to the prior study . The cardiomediastinal silhouette is unchanged . The right base pneumothorax is also similar to the prior study . Pleural thickening and / or fluid is noted in the right costophrenic sulcus and there is also a small left effusion , both similar to prior . The right hilum is elevated with chain sutures in the right lung apex and right upper / mid zone and surgical clips along the right chest wall . There is some focal prominence of interstitial markings in this region , which is better seen , but not clearly changed . Chain sutures and hazy opacity at the right lung apex is noted , in keeping with findings on the ___ CT scan .
    OUTPUT:
    
Doubt significant change compared with ___ at 17 : 41 . Right base pneumothorax again noted . Bilateral pleural fluid and / or pleural thickening is similar to the prior study . Increased interstitial markings the right suprahilar region is better seen , but not clearly changed .