Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: A frontal upright view of the chest was obtained portably . Increased bilateral opacities , in the setting of cardiomegaly , are most likely due to congestive heart failure . There are probably small bilateral pleural effusions . There is no pneumothorax . Heart size is similar to the prior study . The patient is status post median sternotomy with an unchanged fractured upper sternal wire . No acute osseous abnormality is identified . Degenerative changes in the shoulder girdles are noted bilaterally . Increased densities projecting over the right upper quadrant are likely external to the patient . Left PICC line has been removed in the interim .
    OUTPUT:
    
Findings compatible with congestive heart failure . Underlying infection can not be excluded . Recommend repeat radiograph after treatment .