Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Again visualized is a moderate - sized right - sided pleural effusion with likely underlying atelectasis . On this left lateral decubitus view , the effusion does not spread . Left lung is clear . There is no pneumothorax . Stable cardiomediastinal silhouette . A right - sided PICC terminates low in the SVC . Mild degenerative changes of the thoracic spine noted .
    OUTPUT:
    
Persistent moderate right pleural effusion , may be loculated given that it does not spread out / layer on the decubitus view . Likely right lower lobe atelectasis . Right - sided PICC terminates low in the SVC .