Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Pleural this a portable upright technique the mediastinum is widened it 's unclear how much of this is projectional Swan - Ganz catheter tip is in the pulmonary outflow tract . The heart is enlarged is pulmonary vascular redistribution is volume loss at both bases and bilateral pleural effusions compared to the prior study fluid status is worse .
    OUTPUT:
    
1 . Wide mediastinum , some of which could be projectional 2 . Worsened fluid status .