Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Two frontal images of the chest demonstrate interval removal of the left - sided PICC line . There is no pneumothorax or other complication seen . The left IJ central catheter remains in unchanged position . There is significant volume loss on the left side again noted . A significant right - sided pleural effusion is again seen , unchanged from previous imaging . A left - sided pleural effusion may also be present . Cardiomediastinal silhouette is obscured by the pleural effusion and lung volume loss .
    OUTPUT:
    
Interval removal of left - sided PICC line . Otherwise essentially unchanged chest radiograph with substantial right pleural effusion and substantial left basilar volume loss .