Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Moderate to severe left and mild right lower lung atelectasis is not significantly changed . A moderate left pleural effusion is also not significantly changed . Marked widening of the superior mediastinal contour is related to chronic aortic aneurysmal dilatation . There is no pneumothorax . Metallic wire is noted in the left upper abdominal quadrant .
    OUTPUT:
    
No significant interval change compared to the most recent study from ___ including a moderate left pleural effusion with associated moderate - to - severe left lower lung atelectasis .