Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Lung volumes are low but improved since the previous examination . There is elevation of the right hemidiaphragm . There is likely is a small amount of right pleural disease . The heart is enlarged to the left . . Scoliosis of the thoracolumbar spine convex right noted . Pigtail catheters are seen superimposed upon the region of the liver . A right - sided PICC line is present .
    OUTPUT:
    
Improved aeration of the lungs . Likely there is a small right pleural effusion . The right hemidiaphragm remains elevated