Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: A back brace overlies the patient . A left - sided PICC terminates within the mid SVC , with the tip now oriented superiorly . The patient is post - tracheostomy . A previously seen large left pleural effusion is decreased in size , with a trace amount of fluid remaining . There is persistent moderate left basilar atelectasis . No pneumothorax is detected . Multiple skin ___ overlying the lower neck denote recent cervical spine surgery . Multiple right rib fractures are again seen .
    OUTPUT:
    
1 . Interval decrease in size of a left pleural effusion . 2 . Left - sided PICC tip terminating within the mid SVC , but now with the tip oriented superiorly . 3 . No pneumothorax .