Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Support lines and tubes are unchanged in appearance when compared to the prior study . Multiple left - sided rib fractures are again noted . There is persistent pleural fluid tracking along the left lateral chest wall . 2 left - sided chest drains are unchanged in appearance . No pneumothorax seen . There is prominence of pulmonary vasculature with diffuse bilateral airspace opacities consistent with pulmonary edema . Left lower lobe atelectasis .
    OUTPUT:
    
No significant interval change when compared to the prior study .