Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: A left - sided single lead pacer / ICD is in unchanged , appropriate position . The heart is normal in size . Again seen is a moderate , partially loculated pleural effusion on the right as well as known right pleural thickening with multiple loculated right hydro pneumothoraces . There is persistent right lateral chest wall subcutaneous emphysema , which is decreased . The left lung is clear . A small hiatal hernia is unchanged . .
    OUTPUT:
    
1 . Moderate partially loculated right pleural effusion with known pleural thickening and multiple loculated right hydro pneumothoraces unchanged .