Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The left - sided PICC line is confirmed to end at the level of the mid SVC in the lateral view . Otherwise there is no significant change compared with radiograph performed 3 hr earlier , with bilateral pleural effusions , right worse than left with probable associated atelectasis . No focal parenchymal opacities are seen in the aerated portions of the lungs . There is no pneumothorax . A left - sided IJ line ends in the upper atrium . Sternotomy wires are intact .
    OUTPUT:
    
Left - sided PICC line is confirmed to end at the level of the mid SVC in the lateral view . Otherwise unchanged appearance of the thorax compared with radiograph performed 3 hr earlier .