Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: A tracheostomy is 4 .4 cm above the carina . A right upper extremity PICC has been retracted and now terminates in the brachiocephalic vein , near the junction with the superior vena cava . The percutaneous gastrojejunostomy tube is coiled within the stomach and directed retrograde . There are moderate bilateral pleural effusions . Retrocardiac consolidation with air bronchograms is unchanged may be overlying atelectasis , however , pneumonia is not excluded . An additional focal opacification is seen in the right upper lobe . Aspirated barium is seen in the right lower lobe . There is no pneumothorax . There is no evidence of pulmonary edema .
    OUTPUT:
    
1 . New right upper lobe opacity is worrisome for pneumonia / aspiration . 2 . Moderate bilateral pleural effusions , unchanged from ___ , accounting for differences in positioning . 3 . Percutaneous gastrojejunostomy tube is coiled within the stomach and directed retrograde . Repositioning is recommended . 4 . Withdrawal of the right upper extremity PICC , now terminating in the brachiocephalic vein .