Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The right PICC line ends in the in mid SVC . Large right pleural effusion and atelectasis is unchanged . Small amount of pleural fluid tracks in the minor fissure . Small left pleural effusion is also unchanged . No pneumothorax . No overt pulmonary edema . A tube projects over the abdomen and is unchanged . The heart size can not be adequately assessed as the borders are not all seen , but is most likely moderately enlarged and probably grossly unchanged .
    OUTPUT:
    
No significant change in large right pleural effusion with substantial atelectasis and small left pleural effusions .