Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The endotracheal tube is in good position . The right - sided PICC remains in the internal jugular vein . Interval worsening of the bilateral , diffuse airspace disease . The heart remains enlarged . No significant effusions . No pneumothorax .
    OUTPUT:
    
Significant interval worsening of the diffuse bilateral airspace disease , likely alveolar edema given the rapid progression . Right - sided PICC line remains malpositioned in the internal jugular vein .