Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Left - sided PICC line has its tip projecting over the distal left brachiocephalic vein , unchanged in position from prior taking into account the patient 's rotation . Left - sided chest tube is no longer kinked with it s side hole about the left chest wall . Small left medial and basilar pneumothorax appears mildly increased compared to prior . Extensive subcutaneous emphysema throughout the left chest wall and both sides of the neck is also mildly increased compared to prior . Dobbhoff and NG tubes have their tips projecting below the diaphragm . The patient is status post esophagectomy and gastric pull - through , with residual oral contrast noted in the neo esophagus . Surgical clips are again noted about the mediastinum . Small to moderate bilateral pleural effusions are unchanged . Consolidative opacities in both lung bases could represent atelectasis , however superimposed infection can not be excluded .
    OUTPUT:
    
Left - sided PICC line has its tip projecting over the distal left brachiocephalic vein , unchanged in position from prior taking into account the patient 's rotation . Left - sided chest tube is no longer kinked with it s side hole about the left chest wall . Small left medial and basilar pneumothorax appears mildly increased compared to prior . Extensive subcutaneous emphysema throughout the left chest wall and bilateral neck is also mildly increased compared to prior . Dobbhoff and NG tubes have their tips projecting below the diaphragm . The patient is status post esophagectomy and gastric pull - through , with residual oral contrast noted in the neo esophagus . Surgical clips are again noted about the mediastinum . Small to moderate bilateral pleural effusions are unchanged . Consolidative opacities in both lung bases could represent atelectasis , however superimposed infection can not be excluded .