Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Portable AP upright chest radiograph was obtained . Dual lead pacemaker and defibrillator is re-demonstrated . Right pleural effusion and atelectasis is increased as is mild pulmonary vascular congestion . Small left effusion is noted along with left basal atelectasis . Left apical pleural plaque is noted . No frank edema seen . The heart remains moderately enlarged with otherwise normal hilar contours . No pneumothorax is seen . Right PICC terminates in the distal SVC .
    OUTPUT:
    
Small to moderate right pleural effusion is minimally increased with mild pulmonary vascular congestion . Small left effusion . Bibasilar atelectasis , though infection or aspiration may be present .