Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Right lung is fully expanded and clear . Focal opacity adjacent to a left pigtail drainage catheter is new , possibly focal hematoma or loculated effusion . A large left pleural effusion with associated lower lobe relaxation atelectasis is improved compared to 2 days prior , unchanged compared 1 day prior . Moderate cardiomegaly is unchanged . Visualized cardiomediastinal hilar silhouettes are unremarkable . Additional drainage catheters project of the left upper quadrant . Intravascular embolic material projects over the left upper quadrant .
    OUTPUT:
    
1 . New focal opacity adjacent to the coiled pigtail catheter may reflect hematoma were loculated effusion . Attention on follow - up . 2 . Large dependent left pleural effusion is unchanged .