Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: AP and lateral views of the chest provided . The left PICC tip is in the left brachiocephalic vein . Interval increase in opacification of the right mid to lower lung field suggesting layering effusion and probable underlying consolidation . The heart is moderately enlarged . Mitral annular calcifications are noted . Imaged osseous structures are intact . No free air below the right hemidiaphragm is seen .
    OUTPUT:
    
1 . The left PICC tip is in the left brachiocephalic vein . 2 . Interval increase in opacification of the right mid to lower lung field suggesting layering effusion and probable underlying consolidation .