Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Frontal and lateral views of the chest were obtained . The cardiac silhouette remains enlarged . The aorta is calcified and tortuous . A left - sided PICC is again seen , terminating in the mid SVC . There are bibasilar atelectasis and likely trace bilateral pleural effusions . There is also some vascular congestion . No pneumothorax is seen .
    OUTPUT:
    
Persistently enlarged cardiac silhouette , trace pleural effusion and possible mild vascular congestion . Patchy right basilar opacity is seen , which could be due to a combination of pleural effusion and atelectasis ; however , an infectious process is not excluded .