Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The cardiac silhouette appears slightly decreased in size with improvement of central pulmonary vascular engorgement . A small layering left effusion is unchanged and there is slightly increased layering right pleural effusion . A left apical chest tube remains in place without appreciable pneumothorax . There is no focal consolidation worrisome for pneumonia . A left internal jugular central venous catheter , endotracheal tube and upper enteric tube remain in unchanged position . Multiple contiguous left sided rib fractures are again noted .
    OUTPUT:
    
Slightly increased right pleural effusion . Improvement of central vascular engorgement .