Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The right - sided ICD appears in the appropriate position . There is no significant interval decrease in size of the loculated right - sided pleural collection . Air locule within this collection suggesting a hydropneumo / pyopneumothorax . Persistent subcutaneous emphysema is seen in the right lateral chest wall as well as mild swelling of the chest wall . Atelectatic changes of the right lung with mild volume loss of the right hemithorax . Compensatory hyperinflation of the left lung . The left lung is clear .
    OUTPUT:
    
The right - sided ICD appears to be in appropriate position , but there is no significant interval decrease in size of the right - sided loculated air containing pleural collection .