Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Left PICC tip terminates in the lower SVC , unchanged . Right - sided dual - lumen central venous catheter terminates in the right atrium , unchanged . Tracheostomy tube tip remains in stable position . The patient is status post median sternotomy and CABG . Moderate cardiomegaly with a left ventricular predominance is again demonstrated . Atherosclerosis of the aortic knob is present and tortuosity of the thoracic aorta is again noted . Perihilar and bibasilar alveolar opacities are relatively unchanged on the right , and slightly progressed on the left . These likely reflect a combination of moderate pulmonary edema and previously demonstrated multifocal pneumonia . Small bilateral pleural effusions are present . No pneumothorax is identified .
    OUTPUT:
    
Multifocal alveolar opacities , likely reflect a combination of worsening moderate pulmonary edema and multifocal pneumonia . Small bilateral pleural effusions .