Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Single portable AP upright radiograph through the chest is compared to radiograph dated ___ . When compared to prior study , there appears to be increased opacification of the left basilar hemi thorax consistent with moderate pleural effusion . Obscuration of the right hemidiaphragm is additionally present , most compatible with a right - sided pleural effusion as well . The left heart border is not clearly defined and assessment of the heart size is therefore limited . Hilar contours appear stable when compared to prior study . Patient is status post tracheostomy which appears to be in appropriate position . There is dense calcification of the mitral annulus . Aortic atherosclerotic calcifications are noted . There is no pneumothorax . Visualized osseous structures demonstrates no acute abnormality . A prior right - sided PICC is no longer identified . A tubular structure within the right axillary space is noted . Question if this is external to the patient or a retracted PICC . There is new moderate pulmonary edema
    OUTPUT:
    
1 . Moderate to large bilateral pleural effusions and new moderate pulmonary edema . 2 . Tubular structures within the right axillary space . Question if this is external . Prior right sided PICC is no longer visualized .