Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Right PICC tip projects over the low superior vena cava . Tracheostomy cannula is re - demonstrated . Lower cervical fusion hardware is partially visualized . There is unchanged mediastinal widening . Cardiomegaly is unchanged . Large right effusion has increased in size . Moderate left pleural effusion is unchanged . Prominent pulmonary vasculature is unchanged . Bibasilar opacities obscuring the hemidiaphragms are concerning for bilateral lower lobe collapse .
    OUTPUT:
    
1 . Persistent pulmonary edema with increase in size of large right pleural effusion and of unchanged moderate left pleural effusion . 2 . Persistent bibasilar opacities concerning for bilateral lower lobe collapse .