Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Compared with the film from earlier the same day , I doubt significant interval change . The cardiomediastinal silhouette appears stable . Left - sided 3 lead pacemaker type device is present , similar to the prior study . Again seen is left lower lobe collapse and / or consolidation , possibly slightly improved . Also again seen is a left chest tube . No obvious pneumothorax or gross effusion is detected . Subcutaneous emphysema along the lower left chest wall is again noted . There is atelectasis and / or vascular plethora in the left upper lung , similar to the prior study . Right infrahilar atelectasis is unchanged . No gross right effusion .
    OUTPUT:
    
Doubt significant interval change compared with earlier the same day .