Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Portable supine AP view of the chest was provided . The right IJ central venous catheter has been removed and a right subclavian dialysis catheter is now in place with its tip residing within the right atrium . A right upper extremity PICC line is unchanged in position with its tip residing in the mid SVC region . A feeding tube courses into the left upper abdomen . Cardiomegaly is unchanged , with midline sternotomy wires and mediastinal clips again noted . There is left basilar opacity with effusion . Pulmonary edema persists . No pneumothorax is seen on the supine radiograph . Bony structures are intact . There is a subtle nodular peripheral opacity projecting over the right upper lung which appears stable from prior imaging studies and as per prior CT chest , likely represents loculated pleural fluid .
    OUTPUT:
    
Interval replacement of right IJ central venous catheter with a right subclavian dialysis catheter . Persistent cardiomegaly , pulmonary edema , pleural effusions , left greater than right .