Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Semi-upright portable AP view of the chest . There is a right lower lobe consolidation and pleural effusion . There is also likely a component of atelectasis given evidence of volume loss . Severe cardiomegaly is present . Pulmonary vascularity is normal . There is no pneumothorax . There is a double - lumen left internal jugular hemodialysis catheter terminating within the right atrium . There are multiple left subclavian and axillary arterial stents . Median sternotomy wires are present with surgical clips projecting over the spine . There is an IVC filter which is incompletely imaged in the lower aspect of the radiograph . Bilateral severe degenerative changes of the shoulders are present with sclerosis of the left humeral head and near bone - on - bone appearance .
    OUTPUT:
    
1 . Double - lumen central venous line terminates in the right atrium . 2 . Right lower lobe consolidation / atelectasis with right pleural effusion . 3 . Severe cardiomegaly . 4 . No evidence of decompensated congestive heart failure .