Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: A single portable semi-erect chest radiograph was obtained . The exam is limited by lordotic positioning and neck flexion . A right - sided internal jugular line tip is at the cavoatrial junction . The patient has been extubated . A surgical drain in the thyroidectomy bed is seen . Bibasilar layering pleural effusions and atelectasis are larger compared to yesterday . No new consolidation or pneumothorax is present .
    OUTPUT:
    
Worsening bibasilar effusions and atelectasis status post extubation .