Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: A right double - lumen hemodialysis catheter ends at or just beyond the aortocaval junction . A right chest tube and right drain are new . Subcutaneous air is present in the right lateral chest extending into the right neck . A small - to - moderate right pleural effusion and right pleural thickening are unchanged . There is no pneumothorax . Left pleural thickening and atelectasis are stable . Moderate enlargement of the cardiomediastinal silhouette is unchanged . Sternal wires are intact .
    OUTPUT:
    
1 . New left chest tube and left chest drain with subcutaneous air . 2 . Stable right pleural effusion and right pleural thickening . 3 . Unchanged left pleural thickening and atelectasis .