Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Right PICC terminates in the mid to lower SVC . A Prosthetic mitral valve is again noted . There is no pneumothorax . There is persistent right upper lobe collapse with hyperinflation of the right middle lobe . Moderate right pleural effusion has increased in size . Small to moderate left pleural effusion is stable . The left mid lung zone consolidation is unchanged . No pneumothorax .
    OUTPUT:
    
1 . Enlarging moderate right pleural effusion , stable small left effusion . 2 . Persistent consolidation in the left mid lung and collapse of the right upper lobe .