Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Portable upright chest radiograph shows unchanged Optiray shin of the left hemi diaphragm with some combination of consolidation and or fluid . Haziness is also seen in the right cardiophrenic angle , less prominent than on yesterday 's study . Positioning of right - sided PICC line , endotracheal tube and nasogastric tube are unchanged . Upper thoracic scoliosis .
    OUTPUT:
    
Unchanged obscuration of the medial left hemidiaphragm by some combination of consolidation and fluid . A lateral view with followup may be helpful to assess whether this is related to atelectasis were more consistent with the appearance of pneumonia .