Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: A right - sided PICC terminates in the right axillary vein . A tunnel dialysis catheter is seen . In the left internal jugular , terminating in the right atrium . Lung volumes remain low . There is persistent airspace opacity in the right lower lung , likely related to atelectasis as there is a moderate right - sided pleural effusion . Prominence of the pulmonary vascular is consistent with congestive heart failure . There is moderate cardiomegaly . A pigtail drain is seen in the left upper quadrant . No pneumothorax seen . A tracheostomy is unchanged in appearance compared to the prior study .
    OUTPUT:
    
A left - sided pigtail drain is seen . A right - sided PICC terminates in the axillary vein .