IMPRESSION:
Right IJ catheter tip is in the lower SVC. Right PICC tip is in the cavoatrial
 junction. Radiolucent area underneath the right hemidiaphragm represented in
 prior study colonic air. There is no pneumothorax. Mild cardiomegaly is
 stable. Extensive bilateral opacities larger on the left are unchanged. There
 are small to moderate bilateral pleural effusions better seen in CT.