Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Single frontal view of the chest demonstrates massive cardiomegaly and pulmonary vascular congestion , consistent with congestive failure . There is , however , also right infrahilar opacity and right upper lobe perifissural opacity , raising question of concurrent infection . Within the left base is a lentiform opacity , which could be in part related to prominent pericardial fat pad in this location , although concurrent effusion or loculation can not be excluded . There is no pneumothorax .
    OUTPUT:
    
Findings consistent with congestive heart failure and concerning for concurrent infection in the right upper and lower lobes . Lentiform opacity in the left base could be further evaluated with dedicated PA and lateral radiographs when the patient is able ; it is suspected to represent a fat pad but it is difficult to exclude a loculated pleural effusion based only on this image .