Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The left PICC tip persists at the lower SVC . There has been interval placement of a right - sided central venous catheter whose tip terminates at the upper SVC . There has been interval placement of an endotracheal tube that sits 6 cm above the carina . No endogastric tube is seen projecting over the stomach and it is not definitively seen coursing along the central chest . Otherwise , the heart size and mediastinal contours are within normal limits . The lungs demonstrate bibasilar atelectasis . A left pleural effusion is present , the extent of which is difficult to approximate on a supine exam . Assessment for pneumothorax is limited by positioning as well . The visualized portion of the upper abdomen demonstrates a stent in the right upper quadrant as well as embolization coil material and clips .
    OUTPUT:
    
Lines and tubes as described above ; advancement of the endotracheal and endogastric tubes is advised with followup radiograph . Findings were discussed with the ordering team at 4 p .m . on ___ by ___ ___ over the phone .