Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is an ET tube terminating approximately 4 .7 cm above the Carina . Pacemaker with pacer wires , LVAD device , enteric tube remain unchanged compared to the prior radiograph . Right - sided PICC terminates at the cavoatrial junction . Low lung volumes with bilateral pleural effusions and marked cardiomegaly with hilar vascular prominence is again noted . New linear opacities in the right upper and paracardiac region likely represent atelectasis . No interval change in bony thorax .
    OUTPUT:
    
1 . New right - sided PICC terminates at the cavoatrial junction . 2 . Unchanged pulmonary edema , marked cardiomegaly , hilar vascular prominence and bilateral pleural effusions with bibasilar atelectasis , left more than right . 3 . Lines and tubes as above .