Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The tip of the right PICC line projects over the right atrium . A left chest wall dual lead AICD is present . Multiple drains project over the upper abdomen . The tip of the gastric tube projects over the stomach . Low bilateral lung volumes with bibasilar atelectasis . No large pleural effusion or pneumothorax identified .
    OUTPUT:
    
The tip of the right PICC line is again noted to be projecting over the right atrium . No significant interval change since the prior examination .