Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Chronic pulmonary vascular engorgement and cardiomegaly appear unchanged . Chronic left lower lobe collapse persists ; left pleural effusion can not be excluded . Small right pleural effusion is stable . Aortic calcification is again noted . No pneumothorax is detected . The left PICC continues to course into the right atrium . Right chest tube appears similarly positioned . Left humeral deformity is chronic .
    OUTPUT:
    
1 . Stable chronic findings . 2 . Left PICC coursing into the right atrium . Retraction 4 cm is recommended . This finding and recommendation were discussed with ___ by ___ by telephone at 09 :34 on ___ at the time of initial review of the study .