Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: A tracheostomy tube is in place . A left - sided PICC tip projects over the upper - to - mid portion of the SVC . The heart size is large but stable . The mediastinal contours are within normal limits . There is bibasilar atelectasis with small bilateral pleural effusions . No lobar consolidation is seen . There is no pulmonary edema .
    OUTPUT:
    
Cardiomegaly ; bibasilar atelectasis with small bilateral pleural effusions .