Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: In comparison to the chest radiograph obtained 1 day prior and allowing for changes in patient positioning , no significant changes are appreciated . ETT , 2 enteric tubes , right - sided IJ , and VP shunt are unchanged and appropriate in position . Increased , small , left pleural effusion and decreased , small , right pleural effusion . Substantial bibasilar atelectasis unchanged . Moderate cardiomegaly unchanged without pulmonary edema . Calcified mediastinal and hilar lymph nodes unchanged .
    OUTPUT:
    
Above - described lines and tubes appropriately positioned . Increased , small , left pleural effusion and decreased , small , right pleural effusion - atelectasis unchanged . No radiographic evidence specifically suggestive of pneumonia or pulmonary edema .