Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Since the most recent prior radiograph , there has been no significant change . Again seen is a large left - sided pleural effusion , unchanged from prior exam . There is stable atelectasis of the right lower lobe as is evidenced by the minor fissure being pulled down . Cardiomediastinal silhouette is unchanged . There is a right internal jugular central line terminating in the lower SVC .
    OUTPUT:
    
No significant interval change since prior radiograph .