Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Rotated positioning . Left IJ central line tip in the region of the distal SVC / RA junction . There is upper zone redistribution and vascular blurring , consistent with CHF with interstitial edema . There is a moderate size right pleural effusion with underlying collapse and / or consolidation at the right base . In addition , there is increased retrocardiac opacity with obscuration of the left hemidiaphragm and probable small left effusion . Loops linear radiodensity overlying the lower left base , question outside the patient . This appears to correspond to something outside the chest on the prior film .
    OUTPUT:
    
CHF findings , which has increased considerably compared with the film from 1 day earlier . Bibasilar collapse and / or consolidation and bilateral right - greater - than - left effusions , also progressed compared to 1 day earlier . Cardiomegaly . Direct comparison to the prior film is limited due to differences in positioning . No radiographic evidence of pericardial air , pneumomediastinum , or pneumothorax .