Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Right - sided PICC line is present , tip near SVC / RA junction . No pneumothorax identified . A Dobbhoff type tube is present . Radiopaque tip appears to to have advanced and now lies beyond the field - of - view of these images . Inspiratory volumes are low , with bibasilar atelectasis similar to the prior study . There is increased retrocardiac density and blunting of the left costophrenic angle , similar to the prior study , compatible with left lower lobe collapse and / or consolidation and possible small left effusion . No CHF . No right - sided infiltrate or effusion . Platelike atelectasis the cardiophrenic region is similar to the prior study .
    OUTPUT:
    
Increased retrocardiac density with probable small left effusion could reflect left lower lobe collapse and / or consolidation , but is not significantly changed compared with ___ . No new infiltrate identified . Right cardiophrenic angle atelectasis is similar to the prior study . Inspiratory volumes remain low .