Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: AP and lateral views of the chest are compared to previous exam from ___ . Previously identified left PICC line is no longer seen . Lower lung volumes seen on the current exam . There are indistinct pulmonary vascular markings suggestive of fluid overload . There are also possible small bilateral pleural effusions noting that lateral view is limited secondary to patient 's arms obscuring visualization . Cardiac silhouette is enlarged but stable . Degenerative changes noted at the acromioclavicular joints bilaterally .
    OUTPUT:
    
Finding suggestive of pulmonary vascular congestion with possible small bilateral pleural effusions .