Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Patient is status post esophagectomy with gastric pull through and sutures are seen in the right perihilar region . The right lung is well expanded and clear . A homogeneous opacity in the left hemithorax is seen obscuring the left diaphragmatic surface and heart and is consistent with a large left pleural effusion with left lower lobe atelectasis , which is unchanged since ___ . Mild prominence of the right hilum is likely related to patient rotation . Limited assessment of the upper abdomen demonstrates multiple fluid - filled loops of small bowel with air - fluid levels . The gastric pull - through also appears fluid filled . An enchondroma vs . infarct is noted in the left humeral neck . No interval change in the anterior wedge compression fracture in the lower thoracic spine .
    OUTPUT:
    
1 . Large left pleural effusion is stable since ___ . 2 . Multiple air - fluid levels in the partially evaluated small bowel are concerning for small bowel obstruction . If clinical concern , consider upright abdominal radiograph for further evaluation . 3 . Stable multiple anterior wedge compression fractures of the lower thoracic vertebrae .