Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Right PICC ends in the superior cavoatrial junction . An enteric tube ends off the inferior portion of this image . Tracheostomy is in place . There are low lung volumes . There are persisient right greater than left small bilateral pleural effusions , at least mild cardiomegaly with moderate pulmonary edema . Visualization of the lower lobes is difficult and can not rule out pneumonia in these areas . No pneumothorax .
    OUTPUT:
    
At least small bilateral pleural effusions , larger on the right , and moderate pulmonary edema consistent with fluid overload . Can not entirely rule out pneumonia in the lower lungs .