Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Portable supine chest film ___ at 06 :32 is submitted .
    OUTPUT:
    
There is persistent consolidation in the left lower lobe which would be concerning for pneumonia given its focality . A hiatal hernia is also likely present . Probable layering left effusion . Prominent perihilar vasculature which may reflect superimposed component of edema . Clinical correlation is advised . Nasogastric tube and ET tube are unchanged in position . No pneumothorax . Heart remains stably enlarged . Stable mediastinal contours .