Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: A left - sided PICC line is seen with its tip ending in the left brachiocephalic vein and should be advanced approximately 6 .5 cm for appropriate placement . Lung volumes are low . Again seen are patchy bibasilar opacities most likely atelectasis and persistent small right pleural effusion are largely unchanged . The cardiomediastinal silhouette is unchanged and the hilar contours are normal . There is no pneumothorax . Mid thoracic kyphosis is partially related to wedged compression of at least one vertebral body , also seen on ___ lateral view .
    OUTPUT:
    
1 . Left - sided PICC line is seen with its tip ending in the left subclavian vein and should be advanced 6 .5 cm for appropriate placement . 2 . Bibasilar atelectasis and small right pleural effusion are largely unchanged from the prior study .