Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: A right PICC line has been pulled back and now terminates in the low SVC . Moderate cardiomegaly and vascular congestion is unchanged . There is no frank pulmonary edema . The mediastinal contour is normal . Moderate bilateral pleural effusions with adjacent atelectasis are larger . Retrocardiac opacity is likely a combination of pleural effusion and atelectasis . There is no apical pneumothorax .
    OUTPUT:
    
1 . Moderate bilateral pleural effusions with adjacent atelectasis are larger . 2 . Moderate cardiomegaly and mild vascular congestion are unchanged .