Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Portable chest radiograph demonstrates persistent and unchanged opacification of the right lower hemithorax with elevated right hemidiaphragm consistent with large pleural effusion . The left lung remains clear with small pleural effusion and atelectasis . Increased vascular congestion and interstitial edema concerning for slight volume overload . The cardiomediastinal contour or remain stable . A right jugular sheath is unchanged in position .
    OUTPUT:
    
Persistent unchanged opacification on the right lower hemithorax concerning for large pleural effusion and question of right diaphragmatic injury . Increased interstitial fluid and vascular congestion consistent with mild fluid overload . These findings were communicated to the house staff caring for the patient at 9 :24 by Dr . ___ ___ telephone on ___ .