Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Since the radiograph obtained 3 days prior , there has been interval removal of an ET tube and nasogastric tube , the large hiatal hernia is more clearly seen , and there is worsening of homogeneous opacification at the inferior right hemithorax . This is probably due to a combination of a moderate right pleural effusion and atelectasis associated with the hiatal hernia . A small left pleural effusion and left lower lobe atelectasis appear unchanged . No clear consolidation is identified . A left - sided PICC terminates within the upper SVC .
    OUTPUT:
    
Unchanged large hiatal hernia with an increased , adjacent , moderate right pleural effusion associated with atelectasis . The left pleural effusion and left lower lobe atelectasis appear grossly unchanged .