Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: A right - sided PICC terminates in the axillary or subclavian vein . Cardiac pacemaker with appropriately placed leads is unchanged . Dense calcifications of the aortic knob are noted . The large calcified aneurysm of the left ventricle is again noted . Worsening interstitial abnormalities are compatible with pulmonary edema . Bilateral pleural effusions are likely present as well .
    OUTPUT:
    
1 . Pulmonary edema , new since the ___ study 2 . Right - sided PICC is a midline 3 . Known left ventricular aneurysm .