Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The endotracheal tube tip is 4 cm above the carina . The left PICC line terminates in the right atrium , and if desired , would need to be withdrawn at least 3 .5 cm to be positioned in the low SVC . No pneumothorax . There are moderate bilateral pleural effusions , obscuring the heart borders . The right effusion may be loculated , as fluid is not distributed diffusely and posteriorly and lung on this supine view . Substantial left lower lobe atelectasis with leftward shift of the mediastinum is unchanged .
    OUTPUT:
    
1 . Moderate bilateral pleural effusions , possibly loculated on the right . 2 . Unchanged left lower lobe atelectasis . 3 . Left PICC line terminates in the right atrium and would need to be withdrawn at least 3 .5 cm be position in the low SVC , if desired .