Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral views of the chest . Left chest wall port is seen with catheter tip at the RA SVC junction . There is a new moderate left - sided pleural effusion . Underlying atelectasis or consolidation can not be excluded . Elsewhere the lungs are clear . Cardiac silhouette is unchanged . Compression deformity in the upper lumbar spine is unchanged . Anterior left ___ and lateral right ___ and 4th rib fractures are again seen .
    OUTPUT:
    
Moderate left pleural effusion new since prior . Atelectasis and possible consolidation can not be excluded .