Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Tracheostomy tube is unchanged in position . Right central line tip position is stable . All a small to moderate right pleural effusion has slightly increased from the prior study and there is now fluid in the fissure . There is a small left pleural effusion . Patchy opacities in the right lower lobe may represent infectious process . There is retrocardiac atelectasis . The cardiomediastinal silhouette is stable .
    OUTPUT:
    
1 . Bilateral pleural effusions and atelectasis increased . 3 , Patchy opacities in the right lower lobe could be within the pull - through however airspace opacities are also possible . Follow - up is recommended . This study was reviewed with Dr . ___ , ___ radiologist .