Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There has been an increase in right - sided pleural effusion with associated collapse of right upper and lower lobe . Right middle lobe appears partially inflated . There has been a corresponding mediastinal and cardiac shift to the right . Left lung volume is slightly decreased with worsened left basal atelectasis . Tracheostomy is seen in place with no obvious complication . A right IJ double - lumen catheter is seen terminating within the right atrium . A left IJ catheter is seen terminating within the low SVC . An NG tube is seen entering the stomach , courses through the pylorus and then terminates near the ligament of Treitz . There is extensive small bowel and stomach gas noted .
    OUTPUT:
    
Near - complete right lung collapse with only partial inflation of the middle lobe . There has been interval increase in right pleural effusion . There is no pneumothorax . These findings were reported to Dr . ___ at 11 :44 a .m . by ___ ___ .