Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Compared to chest radiographs dated ___ , right middle and lower lobe atelectasis has worsened . Moderate pleural effusions are stable . Severe left lower lobe atelectasis is unchanged . Platelike atelectasis in the right upper lobe persists No focal consolidation . No pneumothorax . No central congestion or overt pulmonary edema . Cardiomediastinal silhouette is stable . Multiple left posterior rib fractures , similar to prior exam . ETT is in standard placement . Right PIC line terminates close to the cavoatrial junction . Nasogastric tube descends below the diaphragm and out of the field - of - view .
    OUTPUT:
    
1 . Worsening right middle and lower lobe atelectasis . 2 . Stable moderate bilateral pleural effusion , severe left lower lobe atelectasis .