Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Right internal jugular line ends at upper SVC . There is an aortic stent graft extending from the level of the aortic arch to the mid descending thoracic aorta . Mild - to - moderate left pleural effusion has minimally increased whereas right - sided small pleural effusion associated with right basal atelectasis is new . Heart size , mediastinal and hilar contours are within normal limits . Upper lungs are clear .
    OUTPUT:
    
Mild - to - moderate left pleural effusion associated with left lower lung atelectasis has worsened whereas small right pleural effusion and mild right basilar atelectasis is new since ___ . Stable cardiomediastinal silhouette .