Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs are well expanded , without focal parenchymal opacities . There is a large left - sided pleural effusion with associated compressive atelectasis . There might be a small right - sided effusion . There is no pneumothorax . Cardiomediastinal and hilar contours are unremarkable . A feeding tube ends in the abdomen , with the tip out of view , better assessed in the CT .
    OUTPUT:
    
Moderate left pleural effusion , slightly worsened from ___ . No evidence of pneumonia .