Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: ET tube , NG tube , right and left IJ lines , and left chest tube are similar in configuration . Sternotomy wires are present , with a gap again noted between the second and third wires . A prosthetic valve is also present , likely an aortic valve . The cardiac silhouette is moderately severely enlarged , similar to prior . Increased retrocardiac opacity compatible with left lower lobe collapse and / or consolidation is similar to the prior film . The left - sided effusion is slightly smaller . Additional pleural fluid and / or thickening is again noted at the left lung apex . There is CHF , which appears increased compared with the prior film . Hazy opacity at the right lung base is increased , consistent with a slightly larger right pleural effusion and underlying collapse and / or consolidation . Linear lucency along the right chest wall more likely relax her relates a skin fold , but a lateral sided pneumothorax could have a similar appearance .
    OUTPUT:
    
Some interval improvement in the left pleural effusion compared 1 day earlier . CHF findings are worse . Hazy opacity at the right lung base , likely a combination of fluid and atelectasis L is slightly worse . Lucent band along right lateral chest wall is new --___ likely represents an artifact due to a skin fold , though a pneumothorax ability new pneumothorax could have a similar appearance . Clinical correlation and attention on followup films is requested . Cardiomegaly and left lower lobe collapse and / or consolidation are similar to the prior film