Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The patient is post-tracheostomy tube placement and right - sided PICC terminating at the cavoatrial junction . A left subclavian central line has been removed . Multiple intact sternal wires denote prior median sternotomy . Diffuse bilateral opacities with some sparing of the left upper zone are minimally changed since ___ , compatible with moderate - to - severe pulmonary edema . Bilateral pleural effusions are unchanged . The heart is moderately enlarged .
    OUTPUT:
    
Minimally unchanged appearance of widespread bilateral pulmonary opacities with sparing of the left upper zone . PICC now terminates at the caval - atrial junction .