Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Tracheostomy is in place . Right IJ line tip overlies the proximal SVC . No pneumothorax detected . Multiple lines overlie the chest . Of note , the previously seen left - sided PICC line is not visualized on the current study . Compared with the prior film , I doubt significant interval change . Again seen are low inspiratory volumes and prominent bilateral opacities in both lungs , with relative sparing of the right mid / upper zone . There is prominent fluid and / or pleural thickening at the right apex , unchanged . The cardiomediastinal silhouette is partially obscured by the pulmonary opacities , but not clearly changed .
    OUTPUT:
    
Doubt significant change in cardiomediastinal silhouette are diffuse bilateral opacities . Previously seen left PICC line not visualized on this examination . Clinical correlation is requested .