Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The small right pleural effusion and associated atelectasis is unchanged . There is suggestion of a new small left pleural effusion with persistent atelectasis obscuring the hemidiaphragm . Mild cardiomegaly and pulmonary vascular congestion are unchanged . The lungs are otherwise clear . There is no pneumothorax . A right IJ central venous line terminates in the SVC . There are subtle linear irregularities of several left ribs and at least one right rib which may indicate the presence of nondisplaced fractures .
    OUTPUT:
    
1 . Persistent small right pleural effusion and probable new left effusion with associated atelectasis . 2 . Mild pulmonary vascular congestion and cardiomegaly unchanged . 3 . Possible rib fractures for which evaluation with a chest CT is recommended . Findings were communicated to Dr . ___ ___ by Dr . ___ by telephone on ___ at 12 :03 .