Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: No significant interval change . Moderate to large right pleural effusion with associated significant volume loss causing rightward shift of the mediastinum is overall unchanged . Trace left pleural effusion is also unchanged . No pulmonary edema . Mild cardiomegaly is unchanged . No pneumothorax . No change in the position of the drain projecting over the right lower hemithorax . Interstitial lung disease and emphysema are essentially unchanged .
    OUTPUT:
    
No significant interval change in the moderate to large right pleural effusion and atelectasis .