Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: AP portable view of the chest . The left PICC ends at the confluence of brachiocephalic veins . Moderate bilateral pleural effusions are unchanged as well as mild pulmonary vascular congestion . The large pseudoaneurysm from the aortic arch is unchanged in size . No pneumothorax . Cardiomegaly is unchanged . Absence of the right humeral head is again seen .
    OUTPUT:
    
No significant change in moderate bilateral pleural effusions and mild pulmonary vascular congestion . Left PICC ends at the confluence of brachiocephalic veins .