Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The tracheostomy tube is unchanged in position and terminates approximately 4 .8 cm above the carina . The right PICC line terminates in the distal SVC . There is no significant change in the lungs when compared to ___ . There are several parenchymal calcifications which were characterized on the most recent CT scan . Again noted are diffuse infiltrative parenchymal opacities , right worse than left ; this is largely due to pulmonary edema and the right - sided pleural effusion , but underlying pneumonia can not be excluded . The mediastinum is wide , which was noted as far back as the outside hospital CXR from ___ . No acute osseous abnormalities .
    OUTPUT:
    
1 . Moderate pulmonary edema , unchanged . 2 . Interval improvement in right - sided pleural effusion .