Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There has been slight interval withdrawal of the right - sided PICC as compared to prior examination with the tip now terminating 1 .2 cm cranial to the carina at the level of the proximal - to - mid SVC . A left - sided ICD with a single right ventricular lead is unchanged in position compared to prior examination . Severe cardiomegaly is unchanged . Mediastinal and hilar contours are stable . Lungs are clear without focal consolidation . There are likely small bilateral pleural effusions . There is no pneumothorax .
    OUTPUT:
    
1 . Slight withdrawal of a right - sided PICC , now terminating in the proximal to mid SVC remaining in acceptable position . 2 . Trace bilateral pleural effusions .