Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The patient 's physical condition required examination in sitting , semi-upright position using AP frontal and chest and left lateral views . Analysis is performed in direct comparison with the next preceding portable chest examination of ___ . The heart size is unchanged and within normal limits . There is no evidence of pulmonary vascular congestion . Similar as on the preceding portable chest examination , there is evidence of old right - sided chest trauma with right lateral clavicular fracture and multiple deformities in the right chest wall . This coincides with a marked elevation of the right - sided diaphragm . There is no evidence of new acute pulmonary parenchymal infiltrates . On the present lateral view , the right - sided diaphragmatic elevation is seen without evidence of pleural effusion accumulating in the posterior compartment . The lateral view is compared with a more remote chest examination of ___ . The findings are rather unaltered . Review of our older radiographic records demonstrate an examination of ___ on which extensive right - sided chest wall and clavicular injuries were described and acute pulmonary parenchymal infiltrates were noted .
    OUTPUT:
    
Stable - appearing right - sided diaphragmatic elevation related to old trauma . Thus , no evidence of acute pleural effusion . Should attempt for thoracocentesis be made , decubitus films should be obtained to ascertain presence of fluid .