Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Nasogastric tube is seen below the diaphragmwith tip in at least distal stomach . . A left - sided internal jugular central venous catheter with tip tip in the upper upper superior vena cava . Right - sided internal jugular venous catheter with tip likely at the confluence of the brachiocephalic veins . Endotracheal tube is in standard position . There has been interval minimal decreased in size of the right pleural effusion , now moderate in size with overall improved aeration of the right lung base . Large left effusion is probably stable in size , though assessment difficult given increased retrocardiac opacification , likely due to worsened collapse .
    OUTPUT:
    
Well - positioned nasogastric tube . Minimally improved right pleural effusion now small in size . Stable large left pleural effusion . Increased left lower lobe collapse .