Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Left PICC tip projects over the expected region of the mid - lower SVC . A right pleural effusion is small with trace fluid in the minor fissure . Blunting of the left costophrenic angle suggests the presence of a trace left pleural effusion as well . Pulmonary vascular congestion is moderate . No frank pulmonary edema . No pneumothorax . Bilateral infrahilar airspace opacities could be atelectasis ; however , aspiration in the appropriate clinical situation is possible . The heart remains moderately enlarged . Median sternotomy wires and numerous mediastinal clips are overall unchanged . Aortic knob knob calcifications are also unchanged . Right shoulder anchors in the humeral head suggesting tendon repair are unchanged . Bilateral acromioclavicular joint degenerative changes are moderate .
    OUTPUT:
    
1 . Left PICC tip projects over the expected region of the mid-lower SVC . 2 . Findings suggestive of heart failure / volume overload .