Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs remain hyperinflated . Blunting of the right costophrenic angle is likely due to a small pleural effusion . Right basilar opacity may represent combination of pleural effusion and atelectasis although underlying consolidation is not excluded . The cardiac silhouette remains markedly enlarged . Aorta calcified and tortuous . There is persistent prominence of the central pulmonary vasculature , possibly due to engorgement .
    OUTPUT:
    
Right basilar opacity may be due to combination of small pleural effusion and atelectasis , although underlying consolidation is not excluded . Persistently enlarged cardiac silhouette with mild central vascular engorgement .