Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Right jugular catheter has been removed and new right subclavian PICC has been placed with tip ending in the upper SVC . Left axillary pacemaker has leads following the standard course and ending in right atrium and right ventricle . Patient is after sternotomy for cardiac surgery . There is bilateral pleural effusion , now more cospicuos to right also with atelectasis . The mild vascular engorgement is stable on the right , but is reduced on the left lung . Heart size is moderately enlarged . There is no pneumothorax .
    OUTPUT:
    
Right subclavian PICC ends in upper SVC . New right base pleural effusion and likely atelectasis with reduced pulmonary edema in the left lung .