Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There has been interval placement of a second left pigtail catheter . The appearance of the pleural effusion with loculated component is again visualized . The PICC line tip is in the right atrium , just below the cavoatrial junction . There is near complete opacification of the left hemithorax . The right lung is relatively clear .
    OUTPUT:
    
Similar appearance of the lungs , now with 2 left chest tubes