Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: A right internal jugular tunneled dialysis catheter is unchanged in position compared to the prior study . A right internal jugular vascular access catheter is also unchanged . In the interval since the prior study the tracheostomy has been removed in obtained for an endotracheal tube . The tip is positioned approximately 3 .5 cm above the level the carina . There is a veil like opacity over the right lung likely representing a layering pleural effusion , this appears to have increased slightly in size compared to the prior study . Left lower lobe atelectasis persists . Mild to moderate pulmonary edema again noted . Moderate cardiomegaly . No pneumothorax seen .
    OUTPUT:
    
Probable mild increase in the right - sided pleural effusion .