Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Tracheostomy tube is again noted . Left - sided PICC line tip overlies the proximal SVC . Right - sided PICC line is no longer visualized and has presumably been removed . No pneumothorax is detected . The cardiomediastinal silhouette is unchanged . Again seen are what appear to be bilateral right greater the left effusions with underlying collapse and / or consolidation , similar to the prior study . Some platelike atelectasis at the left base is more pronounced on the current study . There is mild diffuse vascular plethora , not significantly changed .
    OUTPUT:
    
Interval removal of right - sided PICC line . Otherwise , I doubt significant interval change .