Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Single AP upright portable view of the chest was obtained . A right - sided PICC is again seen , terminating in the upper SVC . The cardiac silhouette remains enlarged with a somewhat globular configuration and there may be underlying pericardial effusion or cardiomyopathy . Left mid lung opacity is again seen , which may be post-surgical . There is obscuration of the left hemidiaphragm which may in part be due to overlying soft tissue ; however , left base consolidation or atelectasis may be present . Dedicated PA and lateral views would be helpful for further evaluation . The aorta remains calcified and tortuous .
    OUTPUT:
    
Obscuration of the left hemidiaphragm may in part relate to overlying soft tissue ; however , underlying consolidation and / or atelectasis may be present . Dedicated PA and lateral views would be helpful for further evaluation . Enlargement of the cardiac silhouette , likely stable , but with a somewhat globular configuration now , underlying pericardial effusion or cardiomyopathy may be present .