Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Extreme lower right chest wall costophrenic angle excluded from the film . An ET tube is present , the tip lies approximately 5 .0 cm above the carina . An NG tube is present , tip extending beneath diaphragm , off film . Clips and other radiopacities are noted in the region of the GE junction . A left PICC or other line overlies the SVC / upper right atrium . A new dual - lumen central line catheter overlies the distal SVC and upper right atrium . The previously seen right PleurX catheter has been removed . No pneumothorax is detected . The cardiomediastinal silhouette is enlarged , but unchanged , accentuated by rotated positioning . Again seen are small to moderate left and small right pleural effusions with underlying collapse and / or consolidation , also similar to the prior study . There is mild upper zone redistribution , without overt CHF .
    OUTPUT:
    
Interval removal of right PleurX catheter and placement of right dual - lumen catheter . Otherwise , doubt significant interval change .