Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: AP upright and lateral views of the chest provided . There is a right IJ central venous catheter terminating in the region of the cavoatrial junction . The heart size appears increased from prior which could in part reflect technique though clinical correlation is advised . There is poorly defined ground - glass opacity in the right lower lobe which appears slightly different from the prior right mid lung opacity though remains concerning for pneumonia . There is a E right pleural effusion which is seen layering posteriorly . The left lung appears clear . Mild interstitial pulmonary edema and pulmonary vascular congestion is suspected . Mediastinal contour is unchanged . Bony structures are intact .
    OUTPUT:
    
1 . Cardiomegaly is new from prior and clinical correlation is advised . 2 . Persistent right lower lung opacity though slightly different in appearance from prior remains concerning for pneumonia . Small right pleural effusion . 3 . Congestion with mild interstitial pulmonary edema .