Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: AP portable upright view of the chest . Right chest wall Port - A - Cath is again noted with catheter tip projecting over the region of the low SVC . New from prior is a large right pleural effusion with only minimal residual aeration in the right upper lobe . No left effusion is seen . Heart size is grossly unchanged . Hardware is again noted stabilizing the thoracic spine . There is evidence of prior right seventh rib resection . A chronic left seventh rib deformity is noted .
    OUTPUT:
    
New large right pleural effusion .