Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Left PICC appears unchanged in position with distal tip pointing superiorly and terminating at the right clavicular head in the expected location of the right internal jugular vein . Right chest dual - lumen catheter is unchanged with distal tip in the right atrium . There is increased prominence of the vascular pedicle , pulmonary edema , and bilateral layering pleural effusions . No pneumothorax is appreciated .
    OUTPUT:
    
1 . Left PICC unchanged in position with distal tip in the the expected location of the right internal jugular vein . Repositioning is recommended . 2 . Worsening pulmonary edema and bilateral pleural effusions .