Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The tip of the PICC line projects over the superior cavoatrial junction . The tip of the Dobhoff feeding tube projects below the level of the diaphragm but beyond the field of view of this radiograph . No focal consolidation or pneumothorax . Chain sutures are present in the left upper lung zone . There is persisting left predominant mediastinal widening as well as a layering left pleural effusion . The size of the cardiac silhouette is within normal limits .
    OUTPUT:
    
Persisting mediastinal widening and a layering left pleural effusion . No focal consolidation is identified .