Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The tip of the right PICC line is still coiled , projecting over the right lung apex . Low bilateral lung volumes with persisting pulmonary vascular engorgement . Scarring / atelectasis at the left lower lung zone is again present . No pleural effusion or pneumothorax identified . The size of the cardiac silhouette is enlarged but unchanged .
    OUTPUT:
    
No significant interval change in the positioning of the right PICC line which is remain coiled and projecting over the right lung apex . Findings were communicated to and acknowledged by ___ , MD at ___ by ___ , MD .