Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Since ___ , left moderate pleural effusion has increased with adjacent atelectasis . A small right pleural effusion is possible . Cardiomediastinal silhouette is largely unchanged . A feeding tube is seen in the stomach . Tracheostomy is noted .
    OUTPUT:
    
1 . Left moderate pleural effusion with adjacent atelectasis , increased since ___ .