Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Left - sided PICC terminates in the low SVC without evidence of pneumothorax . There is persistent elevation of left hemidiaphragm and small left pleural effusion . Left base atelectasis may also be present . No definite focal consolidation . There is no pneumothorax . Surgical clips are re- demonstrated projecting over the mediastinum , in the midline . The cardiac and mediastinal silhouettes are stable . No evidence of free air is seen beneath the diaphragm .
    OUTPUT:
    
Persistent elevation of the left hemidiaphragm with small left pleural effusion and atelectasis . No evidence of free air beneath the diaphragm .