Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Right chest wall power injectable Port - A - Cath is present as well as a left PICC line , both tips , projecting over the right atrium . A right pleural catheter projects over the right mid / lower hemithorax . There is no significant interval change in the moderate right pleural effusion with adjacent atelectasis . No pneumothorax identified . The left lung is clear . This size appearance of the cardiac silhouette is unchanged .
    OUTPUT:
    
Interval placement of a right chest tube which projects over the right mid to lower hemithorax . No significant interval change in the moderate right pleural effusion .