Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Compared to the prior radiograph , there is no significant change . Small right pleural effusion and moderate left pleural effusion with associated bibasilar atelectasis are unchanged . Left PICC ends in the axillary vein , unchanged . No new focal opacities are noted . Bulge in the right upper mediastinal conture and contralateral deviation of the trachea are caused by tortuous , and possibly dilated , head and neck vessels and possibly a goiter or less common cervicomediastinal mass .
    OUTPUT:
    
1 . Stable exam from the prior day and with no evidence of pneumonia . 2 . Possible goiter or , less commonly , other right cervicomediastinal mass displacing the trachea . Suggest clinical examination of the neck to see if ultrasound other imaging is necessary .