Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Single portable view of the chest . Tracheostomy tube and right PICC are noted . Left IJ line is no longer seen . There is new essentially complete opacification of the left hemithorax . There is no definite shift of the mediastinum . Right lung is notable for pulmonary vascular congestion . Median sternotomy wires again noted . Osseous and soft tissues are otherwise unremarkable .
    OUTPUT:
    
Essentially complete opacification of the left hemithorax likely due to combination of atelectasis and underlying effusion . Pulmonary vascular congestion without consolidation seen on the right .