IMPRESSION:
Left pleural effusion is large.  There is new right mediastinal shift. 
 Port-A-Cath catheter tip is at the level of lower SVC.  No pneumothorax is
 seen.
 
 When compared to  CT the amount of fluid is similar.
 
 The CT also provided better appreciation of small right pleural effusion as
 well as nodular opacities in the right lung better seen than on the current
 chest radiograph.