Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Single AP upright portable view of the chest was obtained . There has been interval removal of a right - sided PICC . Moderate to marked cardiomegaly persists . There is blunting of the left costophrenic angle suggesting a combination of pleural effusion and atelectasis . There may also be a trace right pleural effusion . No overt pulmonary edema is seen . There is no pneumothorax . Mediastinal contours are stable .
    OUTPUT:
    
Persistent , stable moderate to marked cardiomegaly with small left and possibly trace right bilateral pleural effusions with overlying atelectasis .