Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Compared with the prior radiograph , lung volumes remain low , with unchanged positioning of the left Port - A - Cath terminating in the right atrium and the previously described right - sided shunt . Right cardiomegaly has worsened , now with more right fissural fluid . No focal consolidation or pneumothorax .
    OUTPUT:
    
Increased heart size and visual fluid indicates the patient is likely in heart failure . No focal consolidation .