FINDINGS:
The right-sided PICC is unchanged and in good position.  No pneumothorax.
 Mild interstitial pulmonary edema has worsened no acute focal consolidation. 
 Bilateral small pleural effusions with fluid along the right minor fissure. 
 The cardiomediastinal silhouette is compared well with enlargement of the
 right hilum, due to known renal cell carcinoma metastasis.

IMPRESSION:
Mild interstitial pulmonary edema.