Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The right - sided PICC line ends in mid SVC . Tracheostomy , feeding tube and nasogastric tube are unchanged . There is no pneumothorax . Right severe pleural effusion and left mild - to - moderate pleural effusion with bibasilar compressive atelectasis is unchanged .
    OUTPUT:
    
There is no significant change since the previous exam .