Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The right - sided PICC line tip overlies the mid / distal SVC , similar to prior . The cardiomediastinal silhouette is unchanged , with sternotomy wires noted . There is persistent retrocardiac opacity , with obscuration of left hemidiaphragm and bibasilar atelectasis . There are small bilateral effusions , best seen on lateral view . Clips noted about the trachea at the level of the thoracic inlet , unchanged . No pneumothorax or new focal infiltrate is identified . No significant CHF .
    OUTPUT:
    
Essentially unchanged compared with ___ . Small bilateral effusions , left lower lobe collapse and / or consolidation , and bibasilar atelectasis again noted . No pneumothorax detected .