Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lung volumes are low . The right lung is essentially clear . There is a substantial left - sided pleural effusion with adjacent atelectasis . No evidence of pneumothorax . Cardiomediastinal silhouette is enlarged . Right PICC line terminates at the lower SVC and is unchanged in position . Left - sided chest tube is re-demonstrated . There are 2 esophageal stents that are visualized within the stomach . Multiple bilateral rib fractures are noted .
    OUTPUT:
    
1 . 2 esophageal stents have migrated to the stomach . 2 . Unchanged appearance of substantial left pleural effusion with adjacent atelectasis .