Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Endotracheal tube in place with the tip 25 mm proximal to the carina . Right - sided IJV CVP in situ with the tip in the mid SVC . Nasogastric tube in place with the tip projecting over the distal stomach . Left lower lobe atelectasis with an associated left - sided pleural effusion .
    OUTPUT:
    
Left lower lobe atelectasis with an associated effusion .