Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There are 2 right - sided chest tubes , which appear unchanged in comparison to the prior chest radiograph , without evidence of pneumothorax . The sternotomy wires appear intact and appropriately aligned . Unchanged appearance of right loculated pleural effusion with compressive atelectasis . The left retrocardiac opacity persists . Heart size is stable . The mediastinal and hilar contours are stable . The pulmonary vasculature is normal . There are no acute osseous abnormalities .
    OUTPUT:
    
1 . 2 right - sided chest tubes unchanged in positioning , without evidence of pneumothorax . 2 . Unchanged right loculated pleural effusion with atelectasis . 3 . Persistent left retrocardiac opacity , concerning for pneumonia .