Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Right internal jugular catheter terminates in the lower SVC . Endotracheal tube terminates 4 .5 cm above the carina . A nasogastric tube courses into the stomach . Thoracostomy tube at the left lung base . Right lower lobe confluent opacities and moderate effusion are unchanged . The left lung is clear . There is no pneumothorax . Mild central venous congestion . Heart size is top normal . Fusion hardware is noted in the lower thoracic spine .
    OUTPUT:
    
Persistent right lower lobe consolidation and parapneumonic effusion .