Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Severe left lower lobe atelectasis is long - standing , present since at least ___ not appreciably changed over the past several days but more pronounced than it was on ___ . Right lower lobe atelectasis has been intermittent , also more severe today than at the beginning of ___ . Small bilateral pleural effusion is also chronic bronchiectasis with impaction in the right upper lobe is a another long - standing feature . There is more retention of secretions today than at the beginning of ___ . There is no pneumothorax , pleural effusion , pulmonary edema , or focal consolidation . Heart size is normal . Tracheostomy tube is rotated an should be evaluated clinically for appropriate positioning .
    OUTPUT:
    
Chronic severe left lower lobe atelectasis , moderate right lower lobe atelectasis , small pleural effusions , right upper lobe bronchiectasis , all worse today than at the beginning of ___ . No good evidence for pneumonia or cardiac decompensation .