Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Patient 's condition required examination in sitting position using AP frontal and left lateral views . Analysis performed in direct comparison with the next preceding portable chest examination of ___ . During the interval , the previously present right - sided pleural chest tube has been removed . Can now identify thickened pleural space along the right lateral chest wall extending into the apical area . A pneumothorax can not be identified . There is no evidence of mediastinal shift . Left - sided Port - A - Cath system and evidence of orthopedic stabilization device in lower cervical spine as before . The lateral view is markedly underexposed but it can exclude any massive pleural effusion collecting in the posterior pleural sinuses .
    OUTPUT:
    
Moderate amount of pleural effusion in right lateral and apical chest area following drainage chest tube removal . No new pulmonary abnormalities .