Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Lines and tubes are similar prior . Again seen is a thin line overlying the left axilla and projecting immediately inside the left chest wall --___ this a PICC line ? If so , it does not reach the SVC . No pneumothorax detected . Again seen is a small left effusion , with underlying collapse and / or consolidation , overall similar to the prior study . Also again seen is patchy opacity , possibly atelectasis , in the right cardiophrenic region , and minimal blunting of the right costophrenic angle . No definite CHF . Cardiomediastinal silhouette unchanged . Fibrotic changes in left suprahilar region are again noted . Previously identified left lower chest rib fracture not well seen .
    OUTPUT:
    
Overall similar to 1 day prior . Clinical correlation regarding possible left - sided PICC line requested .