Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Portable AP semi-erect chest film ___ at 07 : 18 is submitted
    OUTPUT:
    
Left subclavian PICC line has its tip in the proximal SVC near the confluence of veins . The right pleural pigtail catheter is unchanged in position positioned within a loculated pleural effusion . Small left effusion likely not significantly changed given differences in inspiration . Patchy bibasilar opacities , right greater than left , may reflect atelectasis , although aspiration and pneumonia should also be considered . No obvious pneumothorax . Increasing prominence of the pulmonary vasculature and perihilar vessels suggests worsening interstitial edema . Clinical correlation is advised . Tracheostomy tube remains in satisfactory position .