Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: In comparison to ___ chest radiograph , there is a new small right pleural effusion obscuring the right hemidiaphragm . Additionally , the right pigtail catheter appears to have changed position ; some of the side ports are now external to pleural surface resulting in accumulation of the right pleural fluid . There is also interval worsening of the right lower lung atelectasis . The left lung is well - expanded and clear . The right lateral seventh and eighth rib minimally displaced fractures are again seen ; there is mild subcutaneous emphysema of the overlying soft tissue . The cardiomediastinal and hilar contours are stable . There is no pulmonary edema or pneumothorax .
    OUTPUT:
    
1 . The right pigtail catheter has changed in position , and some of the side ports are now external to the pleural space . Associated accumulation of a small right pleural effusion and worsening right lower lobe atelectasis . 2 . Minimal subcutaneous emphysema of the soft tissues overlying the lateral right seventh and eighth rib fractures .