Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There has been interval removal of a right - sided PICC line . The cardiac silhouette remains enlarged . There has been resolution of bilateral pleural effusions . Again visualized are two calcified left upper lobe granulomas .
    OUTPUT:
    
1 . Resolution of bilateral pleural effusions . 2 . Heart size remains enlarged . This could be indicative of cardiomyopathy or a pericardial effusion .