Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral views of the chest provided . Port - A - Cath is situated over the left chest wall with catheter extending to the level of the upper SVC by way of the left IJ vein . There is persistent mediastinal prominence likely in part reflecting left paramediastinal fibrosis . Persistent left basal opacity likely reflects persistent atelectasis and small left pleural effusion . Right lung remains clear . The heart size is grossly unchanged . No acute fracture .
    OUTPUT:
    
Similar appearance of left basal opacity likely reflecting a combination of atelectasis and effusion .