Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There has been interval increase in the right pleural effusion previously seen . There is air seen beneath a structure which appears to be the right hemidiaphragm concerning for right pneumoperitoneum . There is persistent mildly worse left lower lung atelectasis . The cardiomediastinal silhouette is stable and demonstrates an enlarged heart . Mild vascular congestion is seen bilaterally consistent with volume overload . NG tube is seen again passing through the stomach into the pylorus and out of the field of view . The double - lumen catheter is seen unchanged in position terminating within the right atrium .
    OUTPUT:
    
1 . Right - sided air underneath the structure which appears to be the right hemidiaphragm suspicious for right pneumoperitoneum . Please correlate with decubitus films . 2 . Increase in right pleural effusion and left - sided atelectasis . 3 . Stable cardiomegaly with stable mild pulmonary edema . These findings were discussed with Dr . ___ at 11 :48 am via phone by ___ .