Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Again seen is a right IJ sheath overlying the proximal SVC . An NG tube is present the tip likely overlies the gastric fundus . Inspiratory volumes are low . The cardiac silhouette is enlarged , but unchanged sternotomy wires and mediastinal clips are noted there is engorgement of the central vascular sure , upper zone redistribution , diffuse vascular plethora and vascular blurring , and peribronchial cuffing consistent with CHF and interstitial edema . Again seen is increased retrocardiac opacity consistent with left lower lobe collapse and / or consolidation . Is also patchy opacity at the right lung base similar to the prior film . There is a small to moderate left - sided effusion pleural effusion and a small right pleural effusion . These are essentially unchanged , possibly slightly larger on the right .
    OUTPUT:
    
CHF with interstitial edema . Allowing for technical differences , this is similar , possibly minimally more pronounced , than on the prior study . Bilateral pleural effusions left - greater - than - right , with underlying collapse and / or consolidation . The effusion on the right may be slightly larger .