Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Tracheostomy terminates 7 .5 cm above the carina . Right PICC in the cavoatrial junction . Unchanged right upper lobe patchy opacification . Persistent bilateral pleural effusions , right worse than left . Heart size is stable . The mediastinal and hilar contours are stable . The pulmonary vasculature is normal . No pneumothorax is seen .
    OUTPUT:
    
1 . Tracheostomy and right PICC in appropriate positioning . 2 . Unchanged right upper lobe patchy opacification . 3 . Unchanged bilateral pleural effusions , right worse than left .