Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is worsened pulmonary status on the left compared to the prior study , with near total whiteout of the left hemithorax since the mild shift of the mediastinum to the right . The feeding tube tip is not well visualized . This is likely off the film , but is at least in the stomach . Findings were discussed with Dr . ___ on ___ at 9 :27 p .m . by Dr . ___ .
    OUTPUT:
    
Increased left effusion with mediastinal shift to the right .