Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The tip of the right chest wall power injectable Port - A - Cath projects over the cavoatrial junction . A tracheostomy tube is present . There is a layering left pleural effusion with subjacent atelectasis . Patchy airspace opacities throughout both lungs are unchanged . No pneumothorax is identified . The size appearance of the cardiac silhouette is unchanged .
    OUTPUT:
    
Left pleural effusion with subjacent atelectasis , and / or consolidation in the proper clinical context .