Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Again seen is a right - sided PICC line . It s position is unchanged over several films , overlying the right atrium , distal to the cavoatrial junction . The previously seen Dobhoff type tube is no longer visualized . A TIPS stent is faintly seen in the right upper quadrant . Additional embolization material in other small densities are noted in the upper abdomen . No pneumothorax is detected . Mild prominence of the cardiomediastinal silhouette is unchanged . Hazy density in the left lung could reflect a layering pleural effusion . Again seen is retrocardiac opacity obscuration of the left hemidiaphragm consistent with left lower lobe collapse and / or consolidation . There is vascular plethora and mild vascular blurring , consistent with CHF . This may be accentuated by slightly low volumes . No pneumothorax detected .
    OUTPUT:
    
1 . PICC line tip distal to the cavoatrial junction , overlying the right atrium , but unchanged . Clinical correlation requested regarding positioning . 2 . Cardiomegaly and mild pulmonary edema . Lung volumes are slightly low and the possibility of subtle interval increase in CHF findings can not be excluded . 3 . Layering left pleural effusion with left lower lobe collapse and / or consolidation is also similar to the prior film . 4 . Interval removal of Dobhoff tube .