Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Right Port -A - Cath tip terminates at the junction of the right atrium and SVC . Large right hydro pneumothorax is re - demonstrated with interval decrease in amount of fluid in the right hemi thorax . There is complete collapse of the right lung with continued leftward shift of mediastinal structures , as seen previously . Heart size is difficult to assess given the presence of the large right pleural effusion . There continued diffuse streaky and patchy opacities within the left mid and lower lung fields , worse in the interval , suggestive of worsening aspiration pneumonia . No left - sided pneumothorax or large left pleural effusion is demonstrated however the left costophrenic angle is excluded from the field - of - view . A stent is noted within the splenic flexure with a narrowing of the stent lumen in the mid portion .
    OUTPUT:
    
1 . Large right hydro pneumothorax , with interval increase in amount of fluid component compared to the previous study . 2 . Complete collapse of the right lung . Coexistent pneumonia within the collapsed right lung is not excluded . 3 . Increased streaky and patchy opacities in the left mid and lower lung fields which may reflect worsening aspiration pneumonia .