Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Bilateral lower lung opacity due to combination of pleural effusion and atelectasis is unchanged . Mild to moderately enlarged heart size is stable . Bilateral hila and mediastinum are unremarkable . Multiple old rib fractures are present on the right side . Endotracheal tube tip is approximately 3 .6 cm from the carina and is appropriate . Right PICC line ends at lower SVC and an orogastric tube courses below the diaphragm and ends into the stomach .
    OUTPUT:
    
Since yesterday , bilateral lower lobe opacities likely from combination of effusion and atelectasis are unchanged .