Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Again seen is a right sided dialysis catheter with distal tip overlying the right atrium . An enteric tube is again seen coursing inferiorly , with distal tip projecting over the approximate location of the ligament of Treitz . Multiple median sternotomy wires are again identified . The cardiomediastinal silhouettes are stable . Aortic arch calcifications are again noted . The bilateral hila are within normal limits . The lungs are clear . There is no pulmonary vascular congestion . Subtle opacity overlying the right lower lung likely reflects layering right pleural effusion , better assessed on same - day CT scan . There is no pneumothorax or radiographic evidence of left pleural effusion .
    OUTPUT:
    
Stable support devices . No evidence of acute cardiopulmonary process . Moderate right layering pleural effusion is better seen on same - day CT scan .