Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: No significant change from the prior exam . Persistent large left pleural effusion and adjacent atelectasis . Stable probable cardiomegaly . Unchanged appearance of the cardiomediastinal silhouette and hila . No focal consolidation , pneumothorax , or pulmonary edema . Unchanged position of the right Port - A - Cath terminating in the right atrium .
    OUTPUT:
    
Persistent large left pleural effusion with adjacent atelectasis , unchanged .