Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Right - sided PICC tip is not visualized as obscured by spinal hardware and is an at least to the low SVC . Given for differences in technique , bilateral moderate pleural effusions and bibasilar opacities likely have not substantially changed given the semi erect technique . Mild pulmonary vascular congestion . Heart is upper limits of normal in size . Spinal hardware is incompletely evaluated on this portable chest radiograph exam .
    OUTPUT:
    
Given for differences in technique , bilateral moderate pleural effusions and bibasilar opacities likely have not substantially changed given the semi erect technique .