Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: AP portable upright view of the chest . Right chest wall Port - A - Cath is noted with catheter tip in the lower SVC . A left upper extremity access PICC line is seen with its tip in the low lower SVC . Right and left chest tubes are in place . There is interval increase in overall size of bilateral pleural effusions which appear partially loculated . There is consolidation in the lower lungs which could represent atelectasis though difficult to exclude underlying metastasis . Hilar congestion is suspected . The heart size appears mildly prominent . There is no definite pneumothorax . Imaged bony structures appear grossly intact .
    OUTPUT:
    
1 . Left PICC line , right IJ Port - A - Cath , bilateral chest tubes in place . 2 . Moderate partially loculated pleural effusions , increased from prior . 3 . Lower lung consolidations ( increased from prior ) concerning for atelectasis versus pneumonia versus metastasis . 4 . Top normal heart size with hilar congestion .