Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Large right pleural effusion that is grossly unchanged since ___ when allowing for differences in patient position . Small left pleural effusion , also not appreciably changed . Left lower lung atelectasis . Mild bilateral engorgement of the pulmonary vasculature . Cardiomegaly can not be assessed due to patient position and overlapping effusions . No consolidation , pulmonary edema , or pneumothorax . The tracheostomy tube to appearance in position .
    OUTPUT:
    
1 . No significant improvement in the large right pleural effusion and smaller left pleural effusion . 2 . Left lower lung atelectasis .