Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Subtle opacity projecting over the heart on the lateral view likely represents the callus formation from the healing left anterior rib fracture . Interval increase in left pleural effusion with similar appearance of right pleural effusion with associated bibasilar atelectasis . No pneumothorax . The cardiac and mediastinal silhouettes are unchanged . Right chest port tip is in the cavoatrial junction . Biliary stent is again seen . Known sclerotic skeletal metastases are better seen on CT chest .
    OUTPUT:
    
Increasing left pleural effusion with similar appearance of the right pleural effusion . Stable bibasilar atelectasis .