Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Single portable view of the chest is compared to previous exam from ___ . Left PICC is in stable position with tip in the mid SVC . Tracheostomy tube is also seen with tip approximately 5 .5 cm from the carina . Low lung volumes are again noted . There is silhouetting of the left hemidiaphragm consistent with pleural effusion which may be smaller when compared to prior . There is probably underlying atelectasis . Superiorly , the lungs are grossly clear . Cardiomediastinal silhouette is stable . Osseous and soft tissue structures are otherwise notable for a PEG tube in the left upper quadrant . Suggestion of right basilar atelectasis seen projecting over the hemidiaphragm .
    OUTPUT:
    
Probable interval decrease in size of left - sided pleural effusion with underlying atelectasis or consolidation . Otherwise , no significant interval change .