Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: A portable semi-upright radiograph of the chest demonstrates interval increase in left - sided pleural effusion and adjacent atelectasis and new small right - sided pleural effusion with adjacent atelectasis . Stable appearing biapical scarring and multiple calcified granulomas in the left upper lung . Cardiomediastinal and hilar contours are unchanged . There is no pneumothorax . Endotracheal tube ends 4 cm from the carina . No pneumomediastinum .
    OUTPUT:
    
No free air .