Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Compared to ___ , there is an unchanged moderate right pleural effusion and partial collapse of the right middle and lower lobes , moderate cardiomegaly , and mild vascular congestion . There is no pneumothorax . A hemodialysis catheter is again seen ending in the proximal right atrium .
    OUTPUT:
    
No change from ___ with cardiomegaly , mild vascular congestion , moderate right effusion and atelectasis .