Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Endotracheal tube terminates 5 .8 cm above the Carina . LVAD device , left - sided pacemaker are unchanged in position enteric tube traverses below the diaphragm , distal tip not visualized . Lungs remain well inflated , new left pleural effusion . Stable cardiomegaly and enlargement of bilateral hilar vasculature . No pneumothorax . Dense left retrocardiac opacity likely atelectasis . Bony thorax unchanged
    OUTPUT:
    
New small left pleural effusion with likely underlying atelectasis . Stable cardiomegaly and enlargement of hilar vasculature . Lines and tubes as above .