Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: A left chest tube is present . No pneumothorax identified . There is an unchanged small left pleural effusion . Since the prior exam , there are increasing retrocardiac opacities which may reflect atelectasis and / or consolidation . A large right pleural effusion with a subjacent atelectasis is unchanged . Left chest wall dual lead AICD and a right chest wall Port - A - Cath are stable .
    OUTPUT:
    
No pneumothorax identified . Increasing retrocardiac / left lower lobe airspace opacities which may reflect atelectasis and / or consolidation . Unchanged large right pleural effusion with subjacent atelectasis .