Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: ET tube tip lies at the upper edge of the clavicles , proximally 6 .1 cm above the carina , not significantly changed . NG tube tip overlies the gastric fundus . The side port lies in the region of the GE junction , unchanged . The right IJ Swan - Ganz catheter tip overlies pulmonary outflow tract . Additional lines and tubes are present . No pneumothorax is detected . The patient is status post sternotomy , with prominent cardiomediastinal silhouette , essentially unchanged . There is upper zone redistribution and mild vascular plethora , similar to the prior study . Compared with the prior film , there is new increased retrocardiac opacity , with obscuration of the medial left hemidiaphragm , consistent with left lower lobe collapse and / or consolidation . There is a small to moderate left effusion , which appears larger . In addition , there is more pronounced hazy opacity at the right lung base , also with obscuration of the right hemidiaphragm .
    OUTPUT:
    
1 . New or larger bilateral effusions , with new right and more pronounced left base collapse and / or consolidation . 2 . Upper zone redistribution and mild vascular plethora is similar to the prior study . 3 . ET tube and NG tube are unchanged , with ETT lying at the level of the upper edge of the clavicular heads and the NG tube side port in the region of the GE junction .