Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Nasoenteric tube ends in the stomach . Right IJ central venous line and left PICC unchanged in position . There is now near complete opacification of the right hemithorax with mediastinal shift to the left , likely reflecting pleural fluid . Left lung is grossly clear .
    OUTPUT:
    
The endotracheal tube tube has been removed . Since the prior study , there is nearly complete opacification of the right hemi thorax suggesting a large effusion and possibly atelectasis . Nasogastric tube tip is within the stomach . Right central line tip is in the SVC . Left central line tip is in the SVC . There is no pneumothorax . There is a small left effusion . There is no CHF .