Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: A left PICC terminates at the caval atrial junction . A right tunneled line and tracheostomy tube are unchanged in position . A left pigtail thoracostomy tube is again demonstrated . Bilateral pulmonary opacities reflecting a combination of loculated effusions , consolidations , and atelectasis seen on prior CT , appears minimally changed ___ . There is background central pulmonary vascular congestion with mild edema , also stable . No new opacity is detected . There is no pneumothorax .
    OUTPUT:
    
Minimal change since ___ , with multiple pulmonary opacities reflecting a combination of atelectasis , consolidations , and loculated effusions seen on prior CT . No pneumothorax .