Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: AP portable upright view of the chest . A left approach tunneled central line terminates at the right atrium . Multiple intact sternal wires are again seen . A large left pleural effusion has enlarged since ___ . The right lung appears clear . There is no pneumothorax . A left PICC remains within the left axillary vein .
    OUTPUT:
    
1 . Left PICC terminating within the left axillary vein . 2 . Large left pleural effusion has enlarged since ___ .