Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: A right PICC is present with tip terminating in the mid SVC . The cardiomediastinal and hilar contours are stable with calcification of the aortic knob . There are small bilateral pleural effusions , slightly larger than previously seen . There is no pneumothorax . Mild vascular engorgement is noted .
    OUTPUT:
    
Small increasing bilateral pleural effusions with mild vascular engorgement .