Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is new complete opacification of the left hemithorax with slight rightward shift of the trachea and mediastinum . This is most consistent with a new large left pleural effusion . A left Pleurx catheter tip appears in unchanged position overlying the left lower lung zone . The catheter itself appears intact . There is a small right pleural effusion , which is unchanged . The right lung is clear without a consolidation or pulmonary edema . The cardiomediastinal silhouette is not well evaluated due to the left hemithorax opacification .
    OUTPUT:
    
New complete opacification of the left hemithorax with rightward shift of the mediastinum due to reaccumulation of a large left pleural effusion .