Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs are low in volume and show bilateral lower lobe opacities with possible left - sided effusion . The cardiac silhouette remains enlarged . Prominence of the hila could relate to vascular engorgement . A right - sided PICC line terminates with its tip in the distal SVC , unchanged . No pneumothorax is present .
    OUTPUT:
    
New bibasilar opacities with a left - sided effusion could be related to infection and / or aspiration . Prominence of the hila could relate to vascular engorgement .