Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: A right - sided PICC terminates in the lower SVC . A left - sided dual lead pacemaker is in appropriate , stable position . There is persistent pulmonary edema of the right lung and opacity in the right lower lobe consistent with infection . Additionally , there is moderate right pleural effusion . There is increased opacity at the left lung related to a large multilocular pleural effusion and equivalent atelectasis . There is no evidence of pneumothorax .
    OUTPUT:
    
1 . Large , left multilocular pleural effusion with equivalent atelectasis , increased from the prior study . 2 . Persistent right pulmonary edema moderate right pleural effusion . 3 . Right lower lobe opacity consistent with infection .