Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Frontal and lateral chest radiographs demonstrates a large right pleural effusion with pleural air inclusions . Multiple air - fluid levels are identified . Thickened left sided pleura , seen previously on chest radiograph dated ___ and unchanged . Lungs are otherwise grossly clear without overt pulmonary edema . Pleurx catheter in unchanged position .
    OUTPUT:
    
Since last radiograph dated ___ , there has been interval development of large right pleural effusion with pleural air inclusion . Unchanged pleurx catheter position . These findings were communicated to Dr . ___ assistant by Dr . ___ ___ telephone at 15 : 20 on ___ at the time findings were discovered .