Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Left PICC line terminates at the upper SVC and abuts the dialysis catheter . There is opacification of the left hemithorax sparing the left lung apex , suggestive of increased atelectasis and large left pleural effusion . This is worse compared to ___ and stable from 1 hr ago . Diffuse opacities in the right lung is unchanged from ___ . Cardiomegaly is unchanged . Tracheostomy tube and Dobbhoff tube position is stable .
    OUTPUT:
    
1 . Left PICC line terminates at the upper SVC and abuts the dialysis catheter . 2 . There is opacification of the left hemithorax sparing the left lung apex , suggestive of increased atelectasis and large left pleural effusion . This is significantly worse compared to ___ . Diffuse opacities in the right lung is unchanged since ___ .