Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The right PICC tip terminates in the mid SVC . Bilateral pleural effusions are again noted , worse on the left , stable on the right . Emphysematic changes are noted in the soft tissues along the right lateral hemithorax , unchanged from the prior examination . Minimal airspace opacification , particularly along the right lung base may represent layering pleural effusion ; however , worsening atelectasis or underlying infection can not be excluded in the correct clinical setting .
    OUTPUT:
    
1 . Right PICC tip appears to be in the mid SVC . 2 . Bilateral pleural effusions , worse on the left and stable on the right compared to the most recent prior examination . 3 . Increased airspace opacifications , particularly at the right lung base may represent worsening atelectasis , layering pleural effusion ; however , underlying infectious process can not be excluded in the correct clinical setting . 4 . Surgical emphysematic changes in the soft tissues along the right hemithorax , unchanged from the prior examination .