Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Right - sided Port - A - Cath terminates in the mid to low SVC without evidence of pneumothorax . Small bilateral pleural effusions . Central pulmonary vascular engorgement and mild to moderate pulmonary vascular congestion is seen . No definite focal consolidation . No pneumothorax is seen . Cardiac silhouette is top - normal . Mediastinal contours are grossly unremarkable .
    OUTPUT:
    
Central pulmonary vascular engorgement with mild to moderate pulmonary vascular congestion , new / increased compared to the prior study . Probable small pleural effusions .