Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PICC line tip appears to been retracted in the interval up interim in overlies distal most SVC . Vascular plethora appears increased . Right IJ sheath has been removed . Otherwise , I doubt significant interval change . Retrocardiac opacity and platelike atelectasis at the left base with small left effusion again noted . Minimal atelectasis noted the right base . No pneumothorax detected trace
    OUTPUT:
    
Interval increase in CHF . Mild increase in atelectasis at the right base . Left lower lobe collapse and / or consolidation with small left effusion is similar to the prior film . The possibility of an infectious pneumonic consolidation in the left lower lobe can not be excluded .