Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral views of the chest provided . Left sided subclavian line terminates in the upper to mid SVC . There is no pneumothorax . There is now new substantial left pleural effusion . Left apical capping is also seen , either from layering pleural effusion or extra-pleural collection . Heart is enlarged .
    OUTPUT:
    
New large left pleural effusion and new left apical pleural cap , which may be from pleural or extra-pleural fluid collection , both of which is suspected to be related to central line placement .