Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: A right - sided Port - A - Cath is in unchanged position with the tip at the cavoatrial junction . A nasogastric tube is present coursing below the diaphragm with the tip out of the field of view . Since the prior exam , there is a new large left pleural effusion with associated atelectasis . There is no right pleural effusion . There is no pulmonary edema or pneumothorax . The cardiomediastinal silhouette is normal .
    OUTPUT:
    
1 . New large left pleural effusion . 2 . Satisfactory position of the right Port - A - Cath with the tip at the cavoatrial junction .