Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Left PICC tip terminates in the lower SVC . Lung volumes are low . Cardiac and mediastinal contours are unchanged , and there are continued multifocal opacities within the left upper and lower lung fields as well as within the right upper lung field , findings concerning for pneumonia . Additionally , bilateral pleural effusions , small to moderate in size appear unchanged . Crowding of the bronchovascular structures persists . Underlying emphysematous changes are most pronounced within the lung apices . Diffuse gaseous distention of abdominal bowel loops are seen within the upper abdomen . Diffuse demineralization of the osseous structures is present with unchanged compression deformities within the lower thoracic spine . Remote left sided rib fractures are again seen .
    OUTPUT:
    
Persistent multifocal airspace opacities , most pronounced within the left upper lung field , on a background of emphysema , concerning for multifocal pneumonia . Similar bilateral small to moderate sized pleural effusions . Marked gaseous distention of loops of bowel within the upper abdomen .