Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Compared with ___ an allowing for rotated positioning , the overall appearance is probably is slightly worse . Inspiratory volumes are quite low obscuring part of the cardiomediastinal silhouette . Again seen are bibasilar opacities that likely represent a combination of pleural fluid and underlying collapse and / or consolidation . There is vascular plethora and vascular blurring , consistent with CHF -- this is probably slightly worse , but they could be exacerbated by low inspiratory volumes and changes at the bases . Tubing or probe is seen is now seen overlying the mediastinum . It courses left , question due to hiatal hernia . Right subclavian PICC line tip overlies cavoatrial junction .
    OUTPUT:
    
Low inspiratory volumes , with bibasilar opacities and CHF findings that appear slightly worse . Possibility of an underlying pneumonic infiltrate would be difficult to exclude . Tubing overlying mediastinum -- question orogastric type tube , extending into hiatal hernia . Clinical correlation requested .