Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral chest radiographs were obtained . A large amount of pneumoperitoneum is also demonstrated on the concurrently acquired abdominal radiograph . Right and left layering effusions are increased in size . Aerated lung projects at the right lower lung . A left - sided PICC line terminates in the upper right atrium . There are no new abnormal cardiac or mediastinal contours .
    OUTPUT:
    
Large volume of pneumoperitoneum is new since ___ . Finding was communicated promptly with the surgical team by Dr . ___ at approximately 9 : 15 on ___ . Increasing bibasilar effusions . Left PICC line tip in the right atrium and should be withdrawn 3 cm .