Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: An endotracheal tube remains in stable position with tip 4 .6 cm above the carina . There are no new focal opacities concerning for pneumonia . Mild - to - moderate pulmonary edema is unchanged . There has been interval worsening of a now large left layering pleural effusion . There is a small right pleural effusion . The cardiomediastinal and hilar contours are stable . There is no pneumothorax .
    OUTPUT:
    
Interval worsening of now large left layering pleural effusion . Findings were discussed with Dr . ___ at 11 :50 AM on ___ via telephone by Dr . ___ .