Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Re-identified are bilateral upper thoracic and cervical spine posterior spinal fusion rods with multilevel transpedicular screws , not appreciably changed in appearance . Anterior cervical spine fusion hardware is also re-identified , unchanged . There is a right chest port with distal catheter tip not definitively visualized , obscured by superimposed spinal fusion hardware , but seen at least to the level of the high right atrium . EKG leads overlie the chest . Right - sided chest tube is seen with tip projecting over the medial right mid lung . There are low lung volumes . There is unchanged at least moderate cardiomegaly . There is crowding of the normal bronchovascular structures . Hazy opacity with in the right mid and lower lung is unchanged , likely representing a combination of layering pleural fluid and atelectasis . There is no new focal lung consolidation . There is no pneumothorax . There is no sizable left pleural effusion .
    OUTPUT:
    
No appreciable interval change since prior radiograph from ___ . Unchanged right layering pleural fluid and atelectasis . No new focal lung consolidation .