Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The left PICC remains in the azygos vein . The posterior spinal air in the upper thoracic and lower cervical spine are stable . Interval worsening of the bilateral central opacities . There also bilateral moderate pleural effusions and stable retrocardiac opacity . The visualized cardiopericardial silhouette is stable . No pneumothorax .
    OUTPUT:
    
Left PICC remains in the azygos vein . Interval worsening of the perihilar opacities with moderate pleural effusions . This likely represents worsening interstitial edema , pleural effusions and atelectasis .