Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The patient has upper lobes oligemia , mostly compatible with emphysema . Mild pulmonary vessel cephalization is improved since ___ and stable since ___ . Bibasilar atelectasis with small pleural effusion is unchanged . Mild cardiac enlargement is also stable . Left - sided PICC line ends in cavoatrial junction . There is no pneumothorax .
    OUTPUT:
    
There is no change since prior exam and no new lung consolidation . Small bilateral pleural effusions with atelectasis is unchanged .