Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: A right chest drain has been placed in the interim , projecting over the right mid hemithorax just under the superior aspect of the opacity that likely pleural effusion . The tip of the catheters straight and does not have the " pigtail appearance . No significant subcutaneous emphysema . Mottled appearance of the bones is consistent with history of multiple myeloma with bilateral chronic rib deformities likely old pathologic fractures . No significant change in bilateral large right and moderate left pleural effusions . Underlying pneumonia can not be excluded . No pneumothorax . Heart size can not be assessed .
    OUTPUT:
    
1 . Interval placement of right chest drain with tip projecting over the mid-upper hemithorax , just below the uppermost aspect of the effusion without typical pig - tail configuration . The position of this drain may be inadequate to clear the pleural effusion . 2 . No change otherwise .