Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Frontal and lateral radiographs of the chest demonstrate re-accumulation of large left - sided pleural effusion . There is also minimal , unchanged right pleural effusion . There has been interval removal of the right internal jugular central venous line , enteric tube , and endotracheal tube , as well as the left pleural catheter . No focal areas of increased opacification concerning for pneumonia are seen . Diffuse bony demineralization and multilevel degenerative changes of the thoracic spine are noted . A slight aortic knob is also seen .
    OUTPUT:
    
Re-development of large left pleural effusion with no evidence of midline shift . These findings were relayed to Dr . ___ , by Dr . ___ , at 3 :22 p .m .