Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Right PICC tip ends in the low SVC . The lungs are hyperexpanded with flattening of the hemidiaphragms suggesting chronic pulmonary disease , unchanged . Bronchovascular congestion is unchanged . Small right pleural effusion is also minimally changed . Blunting of the left costophrenic angle may indicate a trace left pleural effusion or scarring . No pneumothorax . The cardiomediastinal silhouette is within normal limits . No focal consolidation to suggest focal pneumonia .
    OUTPUT:
    
1 . Bronchovascular congestion without frank pulmonary edema . 2 . Persistent small right pleural effusion and trace left pleural effusion or scarring . 3 . Chronic pulmonary disease .