Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is minimal leftward rotation . Endotracheal tube is seen with tip 4 .6 cm above the carina . Left PICC line is seen with tip overlying the mid-SVC . NG tube is seen , with tip projecting below the lower limit of this film . Right - sided PA catheter is seen with tip overlying the right ventricular outflow tract . Also present is a right internal jugular central venous catheter with tip overlying the superior SVC . EKG leads are seen with corresponding wires projecting over the chest . Radiodense spring seen overlying the right mediastinum representing patient call button . No cardiomegaly . The bilateral hila are indistinct , with vessel engorgement bilaterally . Bilateral interstitial and ground - glass opacities , stable versus slight interval worsening as compared to prior film , representing moderate pulmonary edema . At least moderate bilateral pleural effusions ; extent of change , if any , is unclear secondary to a change in positioning of the patient between the two films .
    OUTPUT:
    
1 . Unchanged moderate bilateral pulmonary edema . 2 . Probably unchanged bilateral moderate pleural effusions . 3 . Stable lines and tubes in place .