Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral views of the chest provided . Midline sternotomy wires , mediastinal clips and dual lead pacemaker appear unchanged . A right upper extremity PICC line is again seen which appears intervally advanced , with its tip now extending into the cavoatrial junction possibly entering the right atrium . Patient is rotated to her left . There is pulmonary edema which is similar to prior exam . Small bilateral pleural effusions are likely present . Mitral annular calcification noted . Cardiomediastinal silhouette stable . No pneumothorax . Bony structures are grossly intact with chronic degeneration of the right shoulder partially noted .
    OUTPUT:
    
1 . Pulmonary edema with small pleural effusions . 2 . PICC line tip at the cavoatrial junction or within the right atrium . Consider slight retraction .