Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Portable AP upright radiograph through the chest demonstrates a right - sided internal jugular vein which terminates at the low a SVC . This appears in unchanged position when compared to most recent radiograph . Patient is status post extubation and enteric tube removal . Patient is status post sternotomy with median sternotomy wires intact . Surgical clips are noted projecting over the left hemithorax . Chest tubes have been removed . New since prior examination , there is increased opacification at the left lung base with obscuration of the left costophrenic angle concerning for pleural effusion and most likely atelectatic changes . There is mild shift of the trachea rightward which may reflect projectional differences . There is improved aeration and increased lung volume within the right hemithorax . No pneumothorax is visualized .
    OUTPUT:
    
1 . Status post extubation and enteric tube removal . 2 . Status post left chest tube removal with increased opacification at left lung base and obscuration of left hemidiaphragm concerning for pleural effusion . These findings discussed with Dr . ___ by Dr . ___ ___ telephone at 15 :30 on ___ at the time radiograph was reviewed .