Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is persistent and grossly unchanged diffuse right lung pleural and parenchymal abnormalities . Cardiac silhouette is stable . There is a small left pleural effusion with adjacent atelectasis , which has increased over the interval . No evidence of pulmonary edema . No pneumothorax . Monitoring and support devices are in unchanged position .
    OUTPUT:
    
1 . Unchanged diffuse right lung pleural and parenchymal abnormalities 2 . Small left pleural effusion with adjacent atelectasis has worsened since prior radiograph of 1 day earlier . It is difficult to exclude underlying pneumonia in this region .