Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The left - sided PICC terminates in the mid upper - to - mid SVC . There appears to be an interval increase in the bilateral pleural effusions ; however , some of these changes could be secondary to positioning . There is no focal consolidation . There is no pneumothorax . The hilar and mediastinal contours are unchanged . The heart borders are obscured by the pleural effusion .
    OUTPUT:
    
1 . Interval increase in the bilateral pleural effusions . Superimposed infectious etiology can not be excluded given the extent of the effusions . Lateral view would be helpful if possible . 2 . Stable right tracheal impression consistent with a right thyroid mass , unchanged compared to prior exams dating back to ___ .