Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: No significant interval change in the previous exam . Again a moderate to large right pleural effusion is noted with persistent a chest and opacities in the right middle and right lower lobes and elevation of the right hemidiaphragm . The left lung is well expanded . The heart is enlarged . Tracheostomy in place with tip above the carina .
    OUTPUT:
    
No significant interval change over the past 5 days .