Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: AP upright portable chest radiograph is obtained . A PICC line is again seen in the right arm extending to the level of the superior vena cava . The heart is poorly visualized , though appears moderately enlarged . Bilateral pleural effusions are again noted , right greater than left . There is pulmonary edema which is similar in extent compared with prior . Mediastinal contour is unchanged . Old left and right rib cage deformities are again noted . Hardware is noted in the left proximal humerus .
    OUTPUT:
    
Moderate cardiomegaly with bilateral pleural effusions and pulmonary edema . PICC line in unchanged position .