Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Right internal jugular central venous catheter remains in the right atrium . Moderate cardiomegaly is unchanged . Lung volumes are slightly improved . There is a new small right pleural effusion . Worsening left lower lobe opacity is most likely atelectasis . New widening of the mediastinum likely reflects vascular engorgement . There is no large pneumothorax .
    OUTPUT:
    
1 . New small right pleural effusion . 2 . Worsening left lower lobe opacity , presumed atelectasis . 3 . Worsening vascular congestion .