Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Lungs : Continued parenchymal disease is seen in the right chest which has not altered significantly . There is also left basilar disease . Pleura : Likely there is a right pleural effusion is well as a small left pleural effusion . Mediastinum : Surgical clips noted in the mediastinum Heart : The heart is not enlarged . Osseous structures : The osseous structures are normal for age . Additional findings : Endotracheal tube is in the region of the thoracic inlet . Left - sided PICC line terminates in the satisfactory position . A new right internal jugular catheter terminates in the right atrium . Nasogastric tube some stomach . Monitor leads noted . There is no pneumothorax .
    OUTPUT:
    
Right internal jugular catheter terminates in right atrium . Continued bilateral parenchymal disease much worse on the right than the left . Probable bilateral effusions