Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Tracheostomy tube , PEG , and left PICC are in stable position . Heart size and cardiomediastinal contours are stable . Moderate layering left pleural effusion with adjacent atelectasis is similar to prior . Small right base atelectasis is unchanged . No pneumothorax .
    OUTPUT:
    
Moderate layering left pleural effusion with adjacent atelectasis , similar to prior .