Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Tracheostomy again seen . A right subclavian PICC line tip overlies the SVC / RA junction . Right - sided chest tube again present . Compared to the prior film , I doubt significant interval change . Residual contrast noted in the gastric fundus which lies above the level of the left hemidiaphragm . Small right effusion is better seen on today 's chest x-ray . Minimal patchy opacity in the right cardiophrenic region is slightly more pronounced . Right upper zone opacity is similar to the prior film . Increased retrocardiac opacity is also similar . The lateral left hemidiaphragm and costophrenic sulcus are excluded from the current film .
    OUTPUT:
    
Overall similar to the prior film . Please see comment above .