Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The patient is status post tracheostomy . A right - sided PICC line terminates in the superior vena cava . The right lung is better aerated than on the prior study , but regarding the left lung , there is persistent opacification of the left lower lobe , which may be associated with atelectasis , consolidation and probably a substantial pleural effusion . There is no pneumothorax .
    OUTPUT:
    
Improved opacification of the right lower lobe but persistent left basilar opacification suggestive of a combination of atelectasis with possible pneumonic consolidation , and suspected moderate pleural effusion .