Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Status post right thorax pigtail catheter removal , there is mild interval increase in size of a small to moderate right apical pneumothorax . Also new is a right moderate to large pleural effusion . The trachea and mediastinum are midline . Median sternotomy wires are in good alignment and intact . A small left pleural effusion is present .
    OUTPUT:
    
1 . Post right chest tube removal , there is mild interval increase in size of small to moderate right apical pneumothorax . 2 . Increased right moderate to large pleural effusion .