Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Frontal and lateral views of the chest were obtained . There is a large right - sided pleural effusion with overlying atelectasis , underlying consolidation is not excluded . There is minimal blunting of the left costophrenic angle on the frontal view , not well substantiated on the lateral view with a very trace left pleural effusions not excluded . No definite focal consolidation is seen in the left lung . The patient is status post median sternotomy . The right aspect of the cardiac silhouette is not well assessed due to the large right - sided opacity . Old - appearing rib fracture is seen approximately at the level of the right posterior sixth rib . The posterior ribs inferior to this are not well assessed due to large right - sided opacity .
    OUTPUT:
    
Large right pleural effusion with overlying atelectasis , underlying consolidation is not excluded .