Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: AP upright portable chest radiograph is obtained . A right arm PICC line is again seen with its tip in the region of the cavoatrial junction with its tip obscured due to overlying EKG leads . The patient is rotated to her left , which limits evaluation . The right lung appears clear . There is left basal opacity which obscures the left hemidiaphragm , which could represent a combination of aspiration / pneumonia and effusion . The left upper lung appears reasonably aerated . The left - sided rib fractures are again noted . There is no pneumothorax . The ET and NG tubes have been removed . Overall , since the prior exam , there has been little change .
    OUTPUT:
    
Status post removal of the ET and NG tubes with persistent left mid and lower lung opacity concerning for consolidation and effusion .