Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is an endotracheal tube with tip terminating approximately 5 .7 cm cephalad to the carinal . There is nasogastric tube with tip terminating below the diaphragm . There is a left PICC with tip terminating in the lower superior vena cava . There is improved aeration of the left hemi thorax with decrease in size of left layering pleural effusion . There is marked increase aeration of the left upper lung . There is irregularity and enlargement of the left hilum the right hilum and right lung are unremarkable . There is no evidence of pneumothorax . Cardiomediastinal silhouette and pulmonary vasculature are within normal limits .
    OUTPUT:
    
1 . Improved aeration of the left lung with decrease in size of the layering left pleural effusion . 2 . Enlargement and irregularity of the left hilum . CT scan is recommended for further evaluation .