Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: AP view of the chest provided . There is now partial opacification of the left hemithorax , concerning for increased layering pleural effusion . In addition , there is left lower lobe atelectasis . There appears to be new slight mediastinal shift to the left , however this may be due to the slight obliquity of the patient . Right lung is unchanged . New Swan - Ganz catheter is seen terminating in the left pulmonary artery . Impella catheter courses to the region of the left ventricle . Endotracheal tube terminates approximately 3 cm above the carina . Left - sided chest tube and transcutaneous atrial biventricular pacer defibrillator leads are in unchanged positions . There is no pneumothorax .
    OUTPUT:
    
1 . Other tubes and lines are in appropriate positions . 2 . Increased left pleural effusion and left base atelectasis . 3 . Possible mild mediastinal shift to the left , but finding likely due to obliquity of the patient . When repeating chest radiograph , nonoblique views is recommended .