Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Single AP upright portable view of the chest was obtained . There are relatively low lung volumes . Mild elevation of the right hemidiaphragm is unchanged . There has been interval removal of endotracheal and nasogastric tubes . There is pulmonary vascular congestion . No large pleural effusions are seen , although a trace effusion on the left would be difficult to exclude . No pneumothorax is seen . The cardiac silhouette remains enlarged .
    OUTPUT:
    
Pulmonary vascular congestion with persistent enlargement of the cardiac silhouette . No large pleural effusion is seen , although a small left pleural effusion would be difficult to exclude .