Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Compared with the prior study , there is no significant change . There is persistent mild left lower lobe and lingular atelectasis and a small left pleural effusion . No new focal consolidation , or pneumothorax . The cardiomediastinal silhouette is unchanged . The tip of the access right - sided Port - A - Cath is not well visualized , as it overlaps with the spinal hardware .
    OUTPUT:
    
No significant change since ___ . Persistent left lower lobe atelectasis and effusion . No new focal consolidation .