Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Portable semi-upright radiograph of the chest demonstrates low lung volumes which results in bronchovascular crowding . There has been interval improvement in the diffuse bilateral heterogeneous airspace opacities . Bilateral pleural effusions have decreased in size . The cardiomediastinal and hilar contours are unchanged . Nasogastric tube ends in the neo-esophagus . The endotracheal tube ends 4 .3 cm from the carina . Right - sided PICC line is looped and coiled , and ends in the axilla . Right - sided Port - A - Cath ends at the distal SVC . No pneumothorax .
    OUTPUT:
    
1 . Interval improvement in diffuse bilateral airspace opacities and decrease in size of bilateral pleural effusions . 2 . Right - sided PICC line is looped and coiled , and ends in the axilla . This should be replaced prior to use .