Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The patient has a tracheostomy tube in place , as well as a right - sided PICC line , again terminating in the superior vena cava . A pigtail catheter is partly visualized over the right hemithorax , although it may have been retracted somewhat noting that the pigtail appears partly uncoiled . Persistent confluent left retrocardiac opacification . The right costophrenic sulcus is partly excluded , but it appears that aeration is better at the visualized right lung base . Severe degenerative changes involves the left glenohumeral joint .
    OUTPUT:
    
Suggestion of tension on a right pleural catheter ; correlation with catheter condition is recommended . Improving aeration of the right base , but persistent left retrocardiac opacification .