FINDINGS:
Left PICC tip terminates in the mid SVC.  The cardiac silhouette size is
 unchanged, with left ventricular predominance and mild cardiomegaly.  The
 mediastinal and hilar contours are stable with calcification of the thoracic
 aorta again noted.  The pulmonary vascularity is not engorged.  Streaky
 opacities in the lung bases likely reflect atelectasis.  Mild elevation of the
 right hemidiaphragm is unchanged.  No large pleural effusion or pneumothorax
 is present.  Partially imaged is a percutaneous transhepatic biliary catheter
 in the right upper quadrant of the abdomen.

IMPRESSION:
Streaky opacities in the lung bases likely reflect atelectasis.