Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: A pre-existing left PICC has tip in the upper SVC . There is interval placement of a new left subclavian approach central venous catheter with tip in the lower SVC . An existing enteric tube traverses below the diaphragm and out of view . Cardiomegaly is unchanged . The mediastinal and hilar silhouette and stable . There is increased bilateral pleural effusions and persistent retrocardiac atelectasis and / or consolidation . There is no evidence of pneumothorax . Median sternotomy wires are intact .
    OUTPUT:
    
1 . New left subclavian line placement in appropriate position , without pneumothorax . 2 . Interval enlargement of bilateral pleural effusions with associated atelectasis . 3 . Indwelling left PICC .