Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Portable upright view of the chest demonstrates left internal jugular central venous catheter projecting over left brachiocephalic vein . Dialysis catheter tip projects over mid SVC . Low lung volumes . Moderate - to - severe pulmonary edema . Right costophrenic angle is not fully imaged . Left costophrenic angle is obscured , suggestive of pleural effusion . Left retrocardiac consolidation is noted . Hilar and mediastinal silhouettes are unremarkable . Heart size is difficult to assess due to adjacent opacities . Right hemidiaphragm is elevated .
    OUTPUT:
    
1 . Moderate - to - severe pulmonary edema with low lung volumes and likely bilateral pleural effusions . 2 . Left internal jugular central venous catheter tip projects over the expected location of the brachiocephalic vein , but can not excluded arterial placement . Findings discussed with Dr . ___ at 4 : 45 pm ___ by phone .