Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Endotracheal tube is well above the carina . The left PICC line now is directed into the azygos vein . Its position points cephalad . VP shunt and nasogastric tube are unchanged . There has been partial improvement in the right basilar parenchymal disease . There remains pulmonary vasculature redistribution . Density is again noted in the retrocardiac region . The heart is enlarged .
    OUTPUT:
    
Slight change of the left - sided PICC line which now appears to enter the azygos vein . Partial improvement in the right basilar disease . Probable continued left basilar pleural and parenchymal disease . Continued cardiomegaly .