Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Right PICC line tip remains in the upper SVC . There is no pneumothorax or pleural effusion . The cardiomediastinal silhouette is unchanged . There is no focal consolidation concerning for pneumonia . Lungs remain hyperinflated . At the bilateral lung apices there is stable pleural parenchymal scarring . There is a small left pleural effusion , unchanged .
    OUTPUT:
    
No radiographic evidence of pneumonia . Unchanged trace left pleural effusion .