Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is a tunneled dialysis catheter ending in the cavoatrial junction . The tip of the right - sided PICC appears to be obscured by the overlying catheter . The tracheostomy tube is in appropriate position . In the setting of poor inspiratory effort , there does appear to be a slight interval increase in the right middle and lower lobe consolidations . No new focal opacities are seen . The right - sided pleural effusion appears to be stable with a small residual effusion remaining . There is no visible pneumothorax .
    OUTPUT:
    
Slight interval worsening of the right lung pneumonia .