Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: White out of the left hemithorax . No significant mediastinal shift in keeping with history of central tumor with proximal bronchial compression , atelectasis of the left lung and an associated pleural effusion . ETT in situ with the tip at the level of the medial clavicles , approximately 63 mm proximal to the carina . NG tube in situ coursing out of sight inferiorly . Right - sided IJV central line in situ with the tip in the proximal SVC . Right - sided PICC line in situ with the tip in the distal SVC . No right - sided pneumothorax . Compensatory vascular shunting to the right lung . Increase in left supraclavicular soft tissue suggesting adenopathy . No destructive bone lesions .
    OUTPUT:
    
1 . Central left bronchial compromise with complete atelectasis of the left lung and an associated effusion . 2 . Interval increase in left supraclavicular soft tissues suggesting adenopathy . 3 . Tubes and lines positions unchanged .