Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Patchy opacities are again noted in both the right and left lobes . Left effusion is present . The right IJ line has been removed , and a PICC line is present with the tip in the mid SVC .
    OUTPUT:
    
Persistent patchy opacifications in both lungs , consistent with pneumonia . PICC line position satisfactory .