Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Lines and Tubes : Again visualized are 2 left - sided chest tubes in unchanged position . The laterally located chest tube has a side hole projecting in the subcutaneous tissues of the lateral chest wall , as before . Lungs : There is persistent near complete opacification of the left hemi thorax , likely a combination of known hematoma / pleural effusion and postsurgical changes including atelectasis . Right lung is clear . No right pleural effusion present Pleura : Known left hematoma , status post VATS for evacuation . No right pleural effusion or pneumothorax . Mediastinum : Mild cardiomegaly with shift of mediastinum to the left side . Bony thorax : No significant interval change .
    OUTPUT:
    
Persistent near complete opacification of the left hemi thorax sparing the left upper lobe , likely a combination of residual pleural effusion / hemothorax and underlying atelectasis . 2 left - sided chest tubes are in unchanged position . The laterally located chest tube has a side hole projecting in the subcutaneous tissues of the lateral chest wall , as before . Right lung clear , no right pleural effusion .