Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: A tracheostomy is in place . A left - sided PICC tip sits at the lower SVC . The lung volumes are low , obscuring and exaggerating the heart size ; mediastinal contours are stable . There is a small left pleural effusion with associated atelectasis . The right costophrenic angle has been excluded from the study . There is no large pneumothorax .
    OUTPUT:
    
Low lung volumes with small left pleural effusion and associated atelectasis .