Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is a right - sided PICC seen with tip terminating over the cavoatrial junction . There is elevation of the right hemidiaphragm consistent with volume loss . There has been interval progression of bilateral pleural effusions when compared to the prior exam . Patchy bibasilar opacities likely reflect compressive atelectasis , although superimposed infection is not entirely excluded . There is no evidence of pneumothorax . Cardiomediastinal contours are stable . Osseous structures are unchanged .
    OUTPUT:
    
Interval increase in bilateral effusions with bibasilar opacities that likely reflect atelectasis , although infection is not entirely excluded .