Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Left - sided Port -A - Cath tip and right PICC tip terminate in the low SVC . A metallic stent spans the mid and distal esophagus , in similar position compared to the previous examination . Heart size is normal . Mediastinal and hilar contours are unchanged . Pulmonary vasculature is not engorged . Small bilateral pleural effusions are decreased in size compared the previous radiograph with associated bibasilar patchy opacities likely reflective of atelectasis . More focal nodular opacity is also noted projecting over the peripheral aspect of the left mid lung field , new in the interval . No pneumothorax is appreciated . No acute osseous abnormalities detected . Bilateral breast implants are incidentally noted .
    OUTPUT:
    
Small bilateral pleural effusions , decreased in size compared to the prior study , with associated bibasilar atelectasis . More focal nodular opacity projecting over the peripheral aspect of the left mid lung field appears new , and could reflect additional site of atelectasis but infection or inflammation is not excluded .