Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: An enteric to enters the duodenum , and likely terminates in the proximal small bowel , however it s tip is not visualized . The large right layering pleural effusion is not appreciably changed . The left lung is clear . There is no pneumothorax . The heart and mediastinum can not be accurately assessed .
    OUTPUT:
    
No appreciable interval change in large right layering pleural effusion .