Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Single frontal view of the chest . The tip of a new left PICC is oriented superiorly , terminating in the right brachiocephalic vein . Tracheostomy and right sided central venous catheter are stable . Mediastinal clips and sternotomy wires are intact . Heart size and mediastinal contours are stable . Left lower lobe collapse persists . Right pleural effusion slightly increased with adjacent atelectasis . No pneumothorax .
    OUTPUT:
    
1 . New left PICC terminates in the right brachiocephalic vein . Subsequent radiographs demonstrate proper position of the PICC . 2 . Persistent left lower lobe collapse . 3 . Slightly enlarged right pleural effusion with adjacent atelectasis .