Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is a moderate right - sided pleural effusion with fluid tracking within the fissure . Evaluation for left effusion is limited secondary to severe scoliosis . The lungs are otherwise grossly clear . The cardiomediastinal silhouette is unchanged . Severe dextroscoliosis of the thoracic spine is again noted . Catheter projects over the right chest , likely a ventriculoperitoneal shunt .
    OUTPUT:
    
Moderate right - sided pleural effusion . No definite other change since prior noting limitation due to the patient 's scoliosis .