Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Left PICC is identified however tip is not clearly delineated an may be within the upper right atrium . There are bilateral , bibasilar opacities compatible with moderate to large effusions and presumable atelectasis . Moderate pulmonary edema is also noted . The cardiac silhouette is difficult to assess .
    OUTPUT:
    
Moderate to large bilateral effusions with adjacent atelectasis noting that infection can not be excluded . Moderate pulmonary edema . Left PICC tip not delineated that seen at least to the level of the right atrium .