Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Again seen is an NG tube , extending beneath the diaphragm , off the film . Also again seen is a left subclavian PICC line , with tip near the cavoatrial junction . No pneumothorax detected . Inspiratory volumes are lower and the patient is more kyphotic than on the prior study . Cardiac contours are obscured by surrounding pleural fluid and consolidation . As before , the aortic arch is appears expanded and calcified , similar in configuration . The trachea is deviated to the right . Aneurysmal areas of the aorta were better demonstrated aneurysmal portions of the order were better demonstrated on a CT from ___ . Again seen is a moderate size left pleural effusion with underlying collapse and / or consolidation . New compared with the prior study , there is a moderate right effusion with underlying collapse and / or consolidation . There is upper zone redistribution mild vascular plethora , probably increased slightly . The upper portion of fusion hardware in the lumbar spine is noted . A left breast prosthesis is again noted . The right breast shadow is not well visualized
    OUTPUT:
    
New moderate right effusion with underlying collapse and / or consolidation . Moderate left effusion underlying collapse and / or consolidation is similar to prior , allowing for differences in positioning . Upper zone redistribution and mild vascular plethora , probably increased slightly .