Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PICC line is unchanged with its tip in the upper SVC . Bilateral pleural effusions and basilar atelectasis persist with a possible component of mild edema . Small amount of fluid tracks along the minor fissure . There is no pneumothorax . In the interval , there is development of large amounts of free air below the right and left hemidiaphragm . CT and surgical consult advised .
    OUTPUT:
    
1 . Interval development of large quantity pneumoperitoneum . Recommend surgical consultation CT to further assess . 2 . Mild edema , small effusions and basilar atelectasis .