Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The endotracheal tube sits 5 cm above the carina . An endogastric tube courses inferiorly towards the stomach . Clips project over the left hemi-abdomen . There has been interval extension of the previously described thoracic fusion hardware . The heart size is stable given positioning and technique . The right mediastinal contours are exaggerated by patient 's rotation to the right . The lung volumes are low with a small - to - moderate right pleural effusion and underlying atelectasis . Retrocardiac atelectasis is also seen . Mild pulmonary vascular congestion is present . There is no large pneumothorax .
    OUTPUT:
    
Status post spinal fusion hardware extension with small - to - moderate right pleural effusion and bibasilar atelectasis ; mild pulmonary vascular congestion .