FINDINGS:
Right PICC terminates in the mid to lower superior vena cava. 
 Removal of endotracheal tube and nasogastric tube.  Bilateral upper lobe
 bulla, marked upper lobe volume loss, and areas of parenchymal scarring and
 architectural distortion appear similar.  Heterogeneous opacities in the mid
 and lower lungs have slightly worsened, however, and small pleural effusions
 are again demonstrated, left greater than right.