Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Right PICC tip terminates in the upper SVC . Tracheostomy tube remains in unchanged standard position . Right - sided pacer device is noted with single lead terminating in the right ventricle . The cardiac and mediastinal contours are unchanged , with tortuosity of thoracic aorta again noted . Patchy opacity within the left lung base appears new compared to the prior exam , and could reflect pneumonia or aspiration . Small right pleural effusion with adjacent atelectasis in the right lung base and elevation of the right hemidiaphragm appear relatively similar . Assessment for left - sided pleural effusion is limited as the left costophrenic angle is not completely included in the exam , but no large effusion is seen . There is no pneumothorax or evidence of pulmonary vascular congestion .
    OUTPUT:
    
1 . Right PICC tip terminates in the upper SVC . 2 . Left basilar patchy opacity concerning for pneumonia or aspiration . 3 . Unchanged small right pleural effusion with adjacent atelectasis and elevation the right hemidiaphragm .