Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs are hyperinflated compatible with emphysema . There is a persistent moderate left pleural effusion with fluid tracking into the left major fissure , unchanged compared to the chest radiograph from ___ . There is a left - sided chest tube in unchanged position . Diffuse mild interstitial edema is noted . There is cardiomegaly as before . There is diffuse demineralization with mild right acromioclavicular arthropathy . EKG leads overlie the chest wall .
    OUTPUT:
    
1 . Emphysema with an unchanged moderate - sized left pleural effusion with fluid tracking into the left fissure and a left - sided chest tube in unchanged position . 2 . Likely mild interstitial edema with unchanged mild cardiomegaly .