Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The right - sided PICC line tip is now at the cava atrial junction . Dobbhoff tube tip is in the second portion of the duodenum . There are moderate bilateral pleural effusions have increased in size compared to the prior exam . There is associated obscuration of the hemidiaphragms compatible with effusion / volume loss / infiltrate . There is hazy bilateral vasculature .
    OUTPUT:
    
Increased pulmonary edema . An underlying infectious infiltrate can not be excluded . Dobbhoff tube tip in the second portion of the duodenum .