Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Left lower lobe severe collapse has increased since prior exam . Moderate pleural effusion is bigger on left side and unchanged . There is no pneumothorax . Mediastinal and cardiac contours are normal . ET tube ends 2 .8 cm above carina left subclavian line is in upper SVC . Third posterior right rib fracture is stable .
    OUTPUT:
    
There is no significant change since previous exam except for increased left lower lobe collapse . There is no pneumothorax .