Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Compared with ___ at ___ Lines : Right - sided PICC line tip not well visualized but likely overlies the distal most SVC . Heart : Cardiomediastinal silhouette unchanged . Sternotomy wires again noted . Left - sided biventricular ICD cardiac device again noted , unchanged in configuration Minimal vascular plethora and thickening of the minor fissure , but doubt overt CHF doubt significant change . Bilateral right - greater - than - left effusions are slightly larger , with underlying collapse and / or consolidation . A tiny right apical pneumothorax would be difficult to exclude .
    OUTPUT:
    
Right and left effusions with underlying collapse and / or consolidation are both slightly larger compared with ___ . No definite pneumothorax . Tiny right apical pneumothorax would be difficult to exclude .