Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Left - sided PICC tip terminates in the low SVC . Mild cardiomegaly is unchanged . The mediastinal contour is similar . There is persistent enlargement of both hila compatible with enlarged bilateral pulmonary arteries suggestive of underlying pulmonary arterial hypertension . There is continued moderate pulmonary edema , unchanged , with small bilateral pleural effusions , perhaps slightly larger on the left in the interval . Ill - defined patchy opacities within the upper lobes may reflect coexistent multifocal pneumonia , better assessed on the previous CT . Patchy atelectasis is also noted in the lung bases . There is no pneumothorax . No acute osseous abnormality is demonstrated .
    OUTPUT:
    
1 . Continued moderate pulmonary edema with small bilateral pleural effusions , slightly larger on the left in the interval . 2 . Patchy opacities in the upper lobes likely reflect coexistent multifocal pneumonia , better assessed on the previous CT . 3 . Persistent enlargement of the pulmonary arteries bilaterally suggestive of underlying pulmonary arterial hypertension .