Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: A left - sided Port - A - Cath is unchanged in position . There is a large right pleural effusion with adjacent atelectasis . In addition , there is a probable small left pleural effusion with adjacent atelectasis . Moderate central pulmonary vascular congestion is noted . The heart is moderately enlarged .
    OUTPUT:
    
Moderate cardiomegaly with large right and small left pleural effusions .