Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There has been interval placement of a right IJ approach tunneled HD catheter , the tip of which projects over the expected location of the right atrium . Lung volumes remain somewhat low , and there is interval increase in bibasilar airspace opacity , right greater than left , concerning for right lower lobe pneumonia . Small - moderate right greater than left pleural effusions are increased . There is no pneumothorax . The cardiac silhouette is top normal for size , and unchanged from prior . Mediastinal contours remain normal .
    OUTPUT:
    
1 . Interval hemodialysis catheter placement , the tip of which projects over the expected location of the right atrium . 2 . New development of bilateral lower lobe atelectasis and / or pneumonia , with moderate right and small left pleural effusions .