Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Lung volumes are low . Right - sided Port - A - Cath tip terminates in the SVC / right atrial junction . Low lung volumes accentuates the size of the cardiac silhouette which appears mildly enlarged but similar . The mediastinal and hilar contours are within normal limits . Pulmonary vasculature is not engorged . A small right pleural effusion is unchanged compared to the previous chest CT . No focal consolidation , left - sided pleural effusion , or pneumothorax is present . Multiple remote bilateral rib fractures are re - demonstrated .
    OUTPUT:
    
Unchanged small right pleural effusion . Low lung volumes without focal consolidation to suggest pneumonia .