Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral views of the chest were obtained . There is a left arm PICC line with tip residing in the expected location of the superior vena cava . Clips are noted projecting over the left chest . A left pleural effusion is again noted with left basilar consolidation , possibly representing atelectasis and essentially unchanged from prior exam . Right lung remains clear . There is mild cephalization , which is compatible with mild congestive heart failure . Mediastinal contour is unremarkable . Bony structures appear unremarkable and intact .
    OUTPUT:
    
Unchanged left basilar effusion / consolidation . Mild cephalization , likely indicating mild degree of failure . PICC line appropriately positioned .