Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Since the prior CXR performed yesterday afternoon , one of the left chest tubes has been removed and there is now one remaining . Worsening opacification of the left hemithorax that partially spares the left apex , likely from a moderate / severe pleural effusion with adjacent atelectasis . There is also right lung base atelectasis . No pneumothorax . The pneumopericardium has resolved . However , the cardiac silhouette is noticeably larger than yesterday ; this may be due to rightward mediastinal shift from the left pleural effusion , or worsening pericardial effusion . Unchanged appearance of subcutaneous emphysema in the left lateral chest wall . Surgical clips are noted in the left upper quadrant .
    OUTPUT:
    
1 . Interval removal of 1 of 2 left chest tubes . Worsening opacification of left hemithorax , likely due to moderate / severe pleural effusion with atelectasis . 2 . Pneumopericardium resolved . 3 . Enlarging cardiac silhouette , which may be due to the left pleural effusion or re-accumulating pericardial effusion . Recommend obtaining echocardiogram for clarification .