Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The tip of the endotracheal tube projects over the mid thoracic trachea . The tip of the nasogastric tube projects below the level the diaphragms but beyond the field of view of this radiograph . A left central venous catheter tip projects over the mid SVC . Low bilateral lung volumes . Increasing hazy opacities throughout the right lung likely reflect a layering pleural effusion . More discrete opacities project over the right lower lung zone and may reflect atelectasis and / or pneumonia . Small left pleural effusion . No pneumothorax identified . The size and appearance of the cardiomediastinal silhouette is unchanged .
    OUTPUT:
    
Increased hazy opacification of the right hemithorax likely reflects a layering pleural effusion . Grossly unchanged opacities at the right lung base may reflect atelectasis and / or pneumonia .