Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Frontal chest radiograph was provided for review . The cardiomediastinal and hilar contours are stable . Again seen is a small left pleural effusion , much decreased compared to the most recent prior study . There is no right pleural effusion . There is no pneumothorax . There has been overall improvement in the bibasilar and right apical opacities since the most recent prior study . A tracheostomy tube is again noted in acceptable position . There has been interval removal of left internal jugular central venous catheter . Again seen is a venous central line terminating near the inferior cavoatrial junction . Contrast is seen in the stomach .
    OUTPUT:
    
Overall improvement with small residual left pleural effusion .