Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Lung volumes and cardiomediastinal contour are unchanged compared to the prior study . Persistent right lower atelectasis and left lower lobe collapse , similar in degree when compared to the prior study . A right - sided PICC terminates in the mid to distal SVC . A tracheostomy tube is unchanged in appearance . Surgical hardware in the lower cervical and upper thoracic spine . No new areas of consolidation seen . No pleural effusion seen .
    OUTPUT:
    
No significant interval change when compared to the prior study .