Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Direct comparison with previous study is limited due to rightward rotation of this study . Small quantity of bilateral pleural effusion is again seen . There is stable elevation of the left hemidiaphragm . Left upper lobe opacity representing atelectasis and loculated fluid has not changed significantly . There is extensive ground - glass opacity of the right hemithorax representing either widespread pneumonia or vascular congestion . Heart is stably enlarged . Endotracheal tube is positioned no less than 5 cm from the carina . IJ catheter is seen in appropriate position terminating within the low SVC . No pneumothorax is seen .
    OUTPUT:
    
Essentially no change since prior study . Stable bilateral pleural effusion and atelectasis .