Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: 2 left chest tubes and multiple left lateral rib fractures are again visualized . The right - sided PICC line is seen in the mid SVC . There is volume loss at the left base with obscuration of the left hemidiaphragm compatible with volume loss / consolidation . No pneumothorax . The cardiomediastinal silhouette is Comparable .
    OUTPUT:
    
No significant interval change .