Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is a right - sided PICC which terminates in the upper to mid SVC . Right upper lobe and left perihilar opacities are again seen . There is persistent blunting of the right costophrenic angle likely due to a small - to - moderate pleural effusion with overlying atelectasis . The right pleural effusion appears stable to possibly minimally decreased as compared to the prior study . No left pleural effusion is seen . There is no evidence of pneumothorax . The cardiac and mediastinal silhouettes are stable .
    OUTPUT:
    
Right upper lobe and left perihilar opacities again seen ; as before , raise concern for pneumonia . Persistent right pleural effusion is stable to possibly very minimally decreased , with overlying atelectasis .