Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The endotracheal tube is in adequate position at 6 .1 cm above the carina . The NG tube is in unchanged position . Worsening of the bilateral moderate pleural effusion . There is also an increase in the retrocardiac atelectasis . Patient with multiple right - sided rib fractures with adjacent mild hemothorax that is unchanged . There is also a right - sided scapular fracture as seen in the previous CT scan . Mediastinal and cardiac contour are unchanged with mild cardiomegaly . Patient with history of median sternotomy , mitral valve repair and CABG . There is no pneumothorax .
    OUTPUT:
    
There is increase in the moderate bilateral pleural effusion and in the retrocardiac atelectasis .