Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The right PICC line tip projects over the right axilla , unchanged . No change in the right chest tube or mediastinal drainage catheter positions . No pneumothorax or large right pleural effusion . The small left pleural effusion is unchanged . Unchanged moderate cardiomegaly . No new focal consolidation concerning for pneumonia .
    OUTPUT:
    
Unchanged small left pleural effusion , without large right pleural effusion .