Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Portable AP upright chest film ___ 04 :57 is submitted .
    OUTPUT:
    
Interval near - complete opacification of the left hemithorax likely reflecting increasing pleural effusion or possibly hemorrhage into the pleural space . Clinical correlation is advised . A left basilar chest tube remains in place with the small pneumothorax seen on recent CT dated ___ not appreciated . A right basilar chest tube is again seen and there is a small but stable right apical pneumothorax . Stable small right effusion . Rounded lucency adjacent to the right hemidiaphragm on the previous study does not persist . Right subclavian PICC line is unchanged in position . Cardiac and mediastinal contours can not be assessed due to the opacity of the left hemithorax . The patient is status post median sternotomy with valve replacement . Patchy opacity at the right lung base persists and may represent an area of atelectasis or pneumonia , less likely hemorrhage . Clinical correlation is advised . No evidence of pulmonary edema .