Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: A single portable AP semi-upright view of the chest was obtained . Cardiomediastinal silhouette including moderate cardiomegaly is stable . An ICD device is also unchanged in position . Interval development of increased opacification in the right lower lung probably reflects asymmetric edema and a layering effusion . The left lung is clear . There is no pneumothorax . Previously noted pulmonary artery catheter has been removed . There is interval placement of a right - sided PICC with tip terminating in the mid SVC .
    OUTPUT:
    
1 . Increased right lower lung opacification probably relates to interval development of asymmetric edema and a layering right effusion , less likely pneumonia . Consider PA and lateral radiographs for confirmation . 2 . Interval placement of a right - sided PICC with tip in the mid SVC .