Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Unchanged widening of the cardiac silhouette , but no vascular congestion or pulmonary edema . There is a new small left pleural effusion . There is no pneumothorax . There is some improvement of the left retrocardiac opacity consistent with improved atelectasis . The right PICC line has been retracted and now ends in appropriate position at the mid SVC .
    OUTPUT:
    
New small right effusion . Right PICC line ends at the mid SVC .