Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Single portable view of the chest . There is persistent elevation of the right hemidiaphragm with a superimposed right basilar opacity suggestive of an effusion , similar in size when compared to prior . There is also pulmonary vascular congestion , increased compared to prior . There is no definite focal consolidation . Cardiomediastinal silhouette is unchanged . Elevation of the right hilum with increased density in the right paratracheal region compatible with prior post - treatment changes , better characterized on prior CT .
    OUTPUT:
    
Persistent right - sided effusion and pulmonary vascular congestion .