Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Right chest wall dual lead venous catheter seen with distal tip in the right atrium . Left - sided PICC is seen to cross the midline with tip projecting superiorly to the region of the lower right internal jugular vein . There are small to moderate bilateral pleural effusions and bibasilar atelectasis . Cardiac silhouette is mildly enlarged . No acute osseous abnormalities . Chronic appearing bilateral posterior rib fractures are noted .
    OUTPUT:
    
Left PICC crossing midline with tip projecting superiorly towards region of the lower right internal jugular vein . Small to moderate bilateral pleural effusions with atelectasis .