Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: A portable AP upright view of the chest was obtained . Again seen is a right - sided dialysis catheter terminating in the right atrium . Heart is mildly enlarged . Pulmonary vasculature is mildly engorged . A rounded opacity at the right base , present sicne ___ , may represent asymmetric pulmonary edema , but other processes such as pulmonary abscess can not be excluded . No large effusion , or pneumothorax .
    OUTPUT:
    
1 . Mildly enlarged heart and pulmonary vascular engorgement , unchanged . 2 . Rounded right basilar opacity may represent asymmetric edema , but other processes such as abscess can not be excluded . At a minimum follow up with conventional PA / Lateral radiographs is recommended , ideally CT should be considered .