Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: A single portable semi-erect chest radiograph was obtained . Low lung volumes accentuate cardiomegaly and prominence of the hilar vasculature and interstitium . Nonetheless , pulmonary vascular congestion has increased . Bibasilar atelectasis and a small left effusion are also present . No new focal consolidation , or pneumothorax is present . A left - sided subclavian catheter tip terminates in the mid SVC . A nasoenteric tube extends inferiorly out of the field of view .
    OUTPUT:
    
Decreased lung volumes and increased pulmonary vascular congestion .