Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The previously noted right upper extremity PICC line has apparently been removed and replaced with a left upper extremity approach PICC line . The distal tip of the line is projecting well within the right atrium . Retraction by at least 6 to 7 cm is advised for placement at the superior cavoatrial junction . Lung volumes are profoundly diminished with hazy opacity at the lung bases , likely reflecting atelectasis . In addition , there is likely fluid tracking within the right major fissure . There are bilateral pleural effusions . A subpulmonic component , particularly on the right can not be excluded , resulting in the appearance of an elevated right hemidiaphragm . No pneumothorax is seen . There is no consolidation or edema . Mild aortic tortuosity is accentuated by low lung volumes . The cardiac silhouette is within normal limits for size . The osseous structures are grossly unremarkable .
    OUTPUT:
    
PICC line as above . Consider retracting 6 to 7 cm for optimal placement . Bilateral pleural effusions with bibasilar atelectasis .