Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There has been interval placement of a right - sided Pleurx catheter and while the pleural effusion on that side is essentially drained , there is a small - to - moderate pneumothorax now present . There is no flattening of the hemidiaphragms or mediastinal shift to suggest tension . The left - sided pleural effusion has increased , now moderate to large in size with underlying atelectasis . Additionally a large hiatal hernia is present . The aerated portions of lung show little change from prior exam . Severe degenerative changes are present at both glenohumeral joints .
    OUTPUT:
    
Right - sided pneumothorax without evidence of tension ; improvement of right , but increase in left , pleural effusions after right PleurX catheter placement .