Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: A bedside AP radiograph of the chest once again demonstrates marked cardiomegaly as well as a moderate right and small left pleural effusion . The left cardiac border and left hemidiaphragmatic contour remain obscured , likely by a combination of atelectasis and effusion , although pneumonia can not be excluded depending on the clinical setting . There is stable widening of mediastinum , consistent with elevated central venous pressure . An endotracheal tube terminates no less than 1 .5 cm above the carina with the patient 's neck significantly flexed . An OG tube courses into the stomach and out of field of view and a right PICC terminates within the right atrium , and could be pulled back 1 .5 cm to ensure seatment in the lower one - third of the SVC .
    OUTPUT:
    
1 . Stable moderate bilateral pleural effusions , bibasilar atelectasis , and pulmonary vascular congestion without evidence of pulmonary edema . 2 . The right PICC lies within the right atrium and could be pulled back 1 .5 cm for proper positioning in the lower one - third of the SVC .