Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: As compared to chest radiograph from 1 day prior , support devices remain in similar position . Left thyroid goiter with deviation of the left Internal jugular line . Overall the appearance of the lungs have not substantially changed with persistent obscure aeration of the left hemidiaphragm with associated volume loss . No pulmonary edema . Moderate cardiomegaly . No visualized pneumothorax .
    OUTPUT:
    
Stable appearance of the thorax with persistent left lower lobe atelectasis and likely small effusion . Multiple rib deformities on the right with adjacent pleural fluid .