Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Compared with ___ , there is no significant change . Left upper extremity PICC line is again noted . Left humeral hardware partially imaged . Lung volumes are low . Small pleural effusions are suspected . Bibasilar atelectasis is noted , difficult to exclude a component of pneumonia / aspiration . Hilar congestion and diffuse reticular and ground - glass opacities appear similar to prior concerning for edema and / or ARDS . Cardiomediastinal silhouette is unchanged .
    OUTPUT:
    
No significant change , see above for details .