Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Again noted are right large bore catheter with tip in the deep right atrium , and Dobbhoff tube coursing through the stomach and inferiorly beyond the film . Changes of mitral valve replacement and coronary artery bypass grafting are seen , with median sternotomy wires and mediastinal clips . Moderate left pleural effusion has increased . There is persistent left lower lobe opacification . The right lung is clear . Mild cardiomegaly and central venous congestion are unchanged .
    OUTPUT:
    
1 . Increased left pleural effusion . 2 . Left lower lobe atelectasis or consolidation .