Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The right - sided indwelling catheter tip overlies the distal SVC , unchanged . There are low inspiratory volumes . The cardiomediastinal silhouette is unchanged . Possible interval obscuration of the left costophrenic angle which could reflect either early collapse and / or consolidation or a small effusion . The apparent changes likely accentuated by underpenetrated technique , however . There is mild vascular engorgement slightly more pronounced .
    OUTPUT:
    
1 . Mild increase in vascular engorgement . 2 . Interval obscuration of the left costophrenic angle . -- question small pleural effusion or early left lower lobe collapse and / or consolidation . If clinically indicated , an AP chest x-ray with increased inspiration and increased penetration and / or a lateral view could help for further assessment .