Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Again seen is a left IJ central line with tip over proximal SVC . Otherwise , I doubt significant interval change . There is hyperinflation , suggesting COPD . There is moderate to moderately severe cardiomegaly . There is upper zone redistribution and mild vascular plethora , without other evidence of CHF . Minimal atelectasis at the left lung base . No definite consolidation . No gross effusion . Possible focal mild pleural thickening of the lower left lung base , which is unchanged compared with ___ .
    OUTPUT:
    
Doubt significant interval change .