Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral views of the chest demonstrate interval removal of right - sided PICC , and placement of new left - sided PICC , terminating at the cavoatrial junction . The cardiomediastinal silhouette is unchanged . There is no evidence of pneumothorax . There are persistent small bilateral pleural effusions , right greater than left , unchanged in extent since the prior study . There is no focal pneumonia . A surgical drain is seen projecting over the mid abdomen , as before .
    OUTPUT:
    
New left PICC in place , terminating at the cavoatrial junction . Persistent small bilateral pleural effusions , right greater than left .