Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Right - sided PICC is again seen , distal aspect not optimally seen , but possibly terminating in the proximal - to - mid SVC . Post-surgical changes in the left hemithorax along with left mediastinal shift are again seen , stable . Right apical pleural thickening / scarring is again seen . Right costophrenic angle is not fully included on the image ; however , no large right pleural effusion is seen . No new consolidation is seen in the right lung .
    OUTPUT:
    
No significant interval change .