Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Patient is rotated to the right . Large left - sided pleural effusion with adjacent atelectasis is noted . Difficult to assess differences since prior CT but it has enlarged since ___ . Superimposed infection would be difficult to exclude . Blunting of the right lateral costophrenic angle suggests small right pleural effusion as well . Streaky right basilar opacities laterally has a configuration of atelectasis versus scar . More superiorly , the lung is grossly clear . Cardiac silhouette is difficult to assess given rotation . There is apparent anterior dislocation of the left glenohumeral joint . This is not significantly changed since prior exam .
    OUTPUT:
    
Large left pleural effusion , enlarged since ___ . Small right pleural effusion . Persistent left glenohumeral joint dislocation .