Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: A right - sided PICC has been pulled back and terminates in the distal SVC . The cardiac silhouette is stable . A large , loculated right - sided pleural effusion has increased in size from the prior examination . Adjacent compressive atelectasis is present . A new retrocardiac opacity may represent atelectasis . No pulmonary edema is identified . There is no pneumothorax .
    OUTPUT:
    
Right PICC terminates in the distal SVC . A large , loculated right pleural effusion is increased from the prior examination . Retrocardiac opacity is suggestive of atelectasis , new from the prior examination . No pneumothorax .