Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The tip of the left PICC now follows an abnormal opacities are essentially unchanged , but there is no evidence of midline shift . No new focal opacity . Increased and more conspicuous appearing left basilar opacities . Small left pleural effusion is plausible . Mild cardiomegaly and prominent pulmonary arteries are unchanged .
    OUTPUT:
    
1 . Abnormal course of the left PICC , now terminating in the azygos or directly abutting the lateral wall of the SVC . 2 . Persistent left basilar opacities , now more conspicuous and concerning for pneumonia .