Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The cardiomediastinal contours remain widened compared to the preoperative radiograph from ___ . Again demonstrated are median sternotomy wires and a mitral valve replacement . The right pleural effusion has improved . However , worsening consolidation at the left lower lobe is consistent with left lower lobe collapse with pleural effusion . There is no pulmonary edema or pneumothorax .
    OUTPUT:
    
New left lower lobe collapse . Stable left effusion , smaller right pleural effusion .