Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The right - sided paratracheal opacity likely reflects the patient 's known malignancy . Tracheostomy tube is in unchanged position as is a right - sided Port - A - Cath tip which terminates in the distal SVC . Heart size is normal . Multiple clips are again noted along the mediastinum posteriorly compatible with prior esophagectomy and gastric pull - through . Mediastinal and hilar contours are otherwise unchanged . Pulmonary vasculature is not engorged . Patchy opacities in the lung bases are re - demonstrated , likely atelectasis . No pneumothorax is detected . Small bilateral pleural effusions are present . There is no focal consolidation . No acute osseous abnormality is detected .
    OUTPUT:
    
Small bilateral pleural effusions and bibasilar atelectasis . Status post esophagectomy and gastric pull - through . Tracheostomy tube in unchanged position .