Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: AP and lateral views of the chest ___ at 09 :30 are submitted .
    OUTPUT:
    
Three right - sided chest tubes and right pigtail drain are unchanged in position . No right - sided pneumothorax is appreciated . Bibasilar patchy opacities are unchanged as well and may reflect areas of atelectasis . There is likely a layering left effusion . No pulmonary edema . Overall cardiac and mediastinal contours are unchanged . Multiple right - sided rib fractures are again seen .