Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The tip of a right PICC line projects over the right axilla , but has a slight turn , and may be entering one of the tributaries of the right axillary vein . Lumbar spine fixation rods are partially imaged . There is a small left pleural effusion . Increased retrocardiac opacification may be due to a combination of atelectasis and pleural fluid , however pneumonia is a possibility in the appropriate clinical setting . The right lung is clear . There is no pneumothorax . Heart size is normal despite the projection .
    OUTPUT:
    
Right PICC line curves in the right axilla vein , and may enter one of its tributaries . Small left pleural effusion which likely coexists with left basilar atelectasis . Pneumonia is also possible in the appropriate clinical setting .