Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The PICC ends in the right atrium . The moderate - to - large right pleural effusion is decreased from prior study . Right lung is clear . No consolidation in the left lung . No pneumothorax .
    OUTPUT:
    
No change in moderate - to - large right pleural effusion . Right PICC ends in the right atrium . These findings were discussed with Dr . ___ by Dr . ___ at 438 pm on ___ by phone .