Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The right IJ central line terminates in the mid to distal SVC , unchanged in position . The tracheostomy tube appears unchanged in position . There is persistent leftward mediastinal shift . The left heart border is also obscured consistent with atelectasis of the lingula . The left basilar opacity has increased consistent with worsening atelectasis and pleural effusion . There may be a small right pleural effusion as well .
    OUTPUT:
    
1 . Worsening left lower lobe and lingular atelectasis and pleural effusion resulting in persistent leftward mediastinal shift . 2 . Small right pleural effusion .