Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Left - sided Port - A - Cath is again seen terminating in the proximal right atrium . Patient is status post median sternotomy and cardiac valve replacements . Enlargement of the cardiomediastinal silhouette is grossly stable . Loculated moderate to large right pleural effusion and consolidation in the right mid to lower lung is grossly similar in appearance compared to the prior study with possible slight improvement in aeration of the right lung . There appears to be mild to moderate interstitial edema . No pneumothorax is seen .
    OUTPUT:
    
Loculated moderate to large right pleural effusion in consolidation in the right mid and lower lung re - demonstrated , with possible slight improvement in aeration of the right lung . Mild to moderate interstitial edema . Persistent enlargement of the cardiomediastinal silhouette .