Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Right - sided pleural drain in situ . Right - sided PICC line in situ with the tip in the proximal to mid SVC . The right - sided hydro pneumothorax is essentially unchanged . Opacification of the right upper lobe shows interval improvement . No airspace opacification involving the left lung . Left - sided pleural effusion is moderate and unchanged compared to prior imaging . Left prepectoral pacemaker in situ with the lead tip seen in the right atrium and right ventricle . No cardiomegaly . No pulmonary edema . Spondylotic changes of the thoracic spine .
    OUTPUT:
    
The right - sided hydro pneumothorax essentially unchanged . The right upper lobe airspace consolidation shows interval improvement . Persistent moderate left - sided effusion .