Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The appearance is overall stable from the prior radiograph . The right PICC has been removed . There is chronic elevation of the left hemidiaphragm along with a pleural effusion which is unchanged in size . There is compressive atelectasis of the left lower lobe . The lungs are otherwise clear . Mediastinal contours are unchanged . There is no pneumothorax . Spinal hardware can be seen in the lower thoracic and upper lumbar spine with a stable compression fracture of a lower lumbar vertebra .
    OUTPUT:
    
Chronic elevation of left hemidiaphragm , left pleural effusion , and left lower lobe atelectasis .