Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Opacification of the apex of the right chest is unchanged and may be likely secondary to a combination of pleural fluid and hematoma . The layering right pleural effusion is also unchanged . There appears to be slight interval worsening of the right middle lobe consolidation . A right - sided chest tube courses medially to the apex , unchanged in position compared to the prior exam . The left lung interstitial edema and small left pleural effusion are unchanged compared to the prior exam . The ET tube terminates 2 .4 cm from the carina . An enteric catheter courses below the diaphragm with the tip below the field of view of the exam . Sternal wires are intact over the lower half of the sternum .
    OUTPUT:
    
1 . Stable layering right pleural effusion and apical hematoma / pleural fluid loculation . 2 . Slight interval worsening of the right mid lung consolidation . This could be consistent with worsening pulmonary vascular congestion , however pneumonia can not be ruled out in the appropriate clinical setting .