Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: A PICC line terminates in the superior vena cava , inserted via a right - sided approach . An extensive opacity in the left upper lung is quite similar . A large cavitary component within the central part of left upper lobe consolidation appears unchanged . A left - sided pleural effusion appears likely decreased . However , the main change is that there is new patchy opacity in the left lower lobe with upward tenting of the left hemidiaphragm and volume loss . A mild - to - moderate lower thoracic compression deformity is unchanged .
    OUTPUT:
    
Persistent extensive left upper lobe consolidation including a large cavitary component . Although a left - sided pleural effusion is probably reduced , there is increasing parenchymal opacification with volume loss at the left base , which may be associated with increased extent of infection . Clinical correlation is suggested .