Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: A right PICC ends in the mid SVC and is unchanged in position . Right and left upper lobe opacities are unchanged from the prior exam . Opacities in the right lower lung are stable . Again , the cardiomediastinal silhouette is difficult to assess due to bilateral opacities . No effusion or pneumothorax is identified .
    OUTPUT:
    
Stable , multi focal opacities concerning for aspiration pneumonia .