Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The patient is status post esophagectomy and gastric pull - through with multiple clips re - demonstrated in the mediastinum . Left - sided Port - A - Cath tip terminates within the SVC . The cardiac silhouette size is normal . The mediastinal and hilar contours are unchanged . Streaky opacity in the left lower lobe appears slightly worse when compared to the previous radiograph , and could reflect an area of atelectasis but infection or aspiration can not be excluded . Right lung is clear . There is a trace right pleural effusion . No pulmonary vascular congestion is demonstrated . No pneumothorax is present . Old right - sided rib deformities are again noted .
    OUTPUT:
    
Streaky left lower lobe opacity could reflect atelectasis but infection or aspiration can not excluded , and findings appear slightly worse compared to the previous chest radiograph . Trace right pleural effusion .