FINDINGS:
The tip of the left PICC line extends to the superior cavoatrial junction.
 
 Low bilateral lung volumes with bibasilar opacities likely reflecting
 atelectasis and superimposed pleural effusions.  No pneumothorax identified. 
 Mild pulmonary vascular congestion.
 
 The size of the cardiac silhouette is enlarged but unchanged.

IMPRESSION:
New bibasilar opacities likely reflecting atelectasis and superimposed pleural
 effusions.  Mild pulmonary vascular congestion.