Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Lungs : Left basilar density is present which could represent a combination of pleural effusion and / or compressive atelectasis . The pulmonary vasculature remains engorged . Pleura : Bilateral pleural effusions are present , that on the right is new . Mediastinum : No mediastinal mass is seen on this AP examination . Heart : The heart is enlarged . . Osseous structures : The osseous structures are normal for age . Additional findings : Right PICC line enteric tube and tracheostomy noted .
    OUTPUT:
    
Continued CHF . The left pleural effusion remains and there is a new small right pleural effusion . Underlying parenchymal disease can not be excluded .