Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Poorly defined opacities involving the mid and lower lungs bilaterally as well as bronchial wall thickening , more severe in the left lower lobe are concerning for ongoing or recurrent infection . The patient 's pancreaticopleural fistula contributes to the retrocardiac consolidation . There remains a left - sided pleural effusion . A left - sided PICC line terminates at least 7 cm into the right atrium . Cardiac size is normal .
    OUTPUT:
    
1 . Multifocal infection involving the mid and lower lungs , most severe in the left lower lobe . 2 . PICC line at the tricsupid valve plane and should be retracted by at least 7 cm for positioning in the lower SVC . PICC line findings discussed with ___ at 6 :00 AM via telephone .