Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Study is slightly limited due to patient rotation and the patient 's chin and neck projecting over and obscuring assessment of the right lung apex medially . Right PICC tip appears to terminate in the mid SVC . Lung volumes are reduced compared to the previous study . Moderate enlargement of cardiac silhouette is again noted . The mediastinal contour is unremarkable with minimal aortic knob calcifications . Mild pulmonary edema appears slightly progressed compared to the previous exam . There is persistent left perihilar opacity compatible with pneumonia , which appears unchanged . Right basilar opacification appears slightly progressed and is concerning for pneumonia or aspiration . Small bilateral pleural effusions are noted . No pneumothorax is seen . Chronic fracture deformity of the left humeral neck is re - demonstrated .
    OUTPUT:
    
1 . Slight interval progression of mild pulmonary edema with small bilateral pleural effusions . 2 . Worsening right basilar opacification concerning for pneumonia or aspiration . Left perihilar opacification appears similar , and also likely reflects an area of infection .