Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Right and left IJ central line tips overlie the mid SVC . No pneumothorax is detected . Again seen is cardiomegaly , similar to the prior study . There is upper zone redistribution , by no overt CHF . Retrocardiac opacity , compatible left lower lobe collapse and / or consolidation , is again seen , minimally worse . There is blunting of both costophrenic angles , which could reflect small joint effusions , also similar to prior . No lucent or sclerotic fracture line or displaced fracture fragment is detected . Please note that a fracture to the anterior cartilaginous portion of . This would not be apparent radiographically . In addition , there is no lateral view for dedicated sternal view for assessment of the sternum or manubrium . No pneumothorax detected .
    OUTPUT:
    
Cardiomegaly , left lateral left lower lobe collapse and consolidation , and small effusions , together with upper zone redistribution , are similar to prior study . No obvious rib fracture and no pneumothorax . Assessment of the anterior cartilaginous portions of the ribs and of the sternum itself is limited on this examination .