Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The tip of the right PICC line projects over the mid to lower SVC . There has been interval removal of one of the left - sided chest tubes ; a second left chest tube is present . Unchanged small left pleural effusion which layers laterally along the chest wall as well as atelectasis / consolidation and left lung base . There is unchanged appearance of the left upper mediastinal border which may reflect a small paramedian pneumothorax or pneumomediastinum . Perihilar opacities persist in the right lung , likely reflective of pulmonary edema . The appearance of the cardiac silhouette is unchanged .
    OUTPUT:
    
Interval removal of the apically directed left chest tube . No other significant interval change .