Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is a right PICC tip that terminates in the upper SVC . There is upper lobe predominant pleural and parenchymal scarring that is unchanged in comparison to the prior chest radiograph and chest CT , superimposed upon known emphysema . There is also linear opacification in the region of the posterior cardiac border , which represents atelectasis . There are small bilateral pleural effusions seen on the lateral . Heart size is normal . The mediastinal and hilar contours are normal . The pulmonary vasculature is normal . No pneumothorax is seen . There are no acute osseous abnormalities .
    OUTPUT:
    
1 . Right PICC in appropriate position . 2 . Upper lobe predominant pleural and parenchymal scarring is unchanged , superimposed upon known emphysema 3 . Small bilateral pleural effusions .