Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: As demonstrated on the recent CT of the chest , there is a loculated pleural effusion on the right with lateral and basilar components . Vascular congestion is demonstrated bilaterally , and in comparison to chest radiograph from ___ , is slightly worse . Cardiomegaly is unchanged . Calcified mediastinal nodes are again noted . Small left pleural effusion is new . Partially visualized are vascular stents in the right upper extremity .
    OUTPUT:
    
Relatively unchanged loculated right pleural effusion and new small left pleural effusion with stable cardiomegaly and mildly worsened vascular congestion , indicative of heart failure and fluid overload .