Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral views of the chest are obtained . Port - A - Cath is unchanged in position , with catheter tip in the expected location of the superior vena cava . Overall , there has been no significant change from prior exam with persistent pulmonary vascular congestion . Patient is known to have underlying emphysema . Tiny bilateral pleural effusions are present . Cardiomediastinal silhouette is stable . No pneumothorax . Bony structures are intact . No free air below the right hemidiaphragm . Two clips in the mid abdomen are noted .
    OUTPUT:
    
Persistent pulmonary vascular congestion , tiny pleural effusions , similar to prior exam from five hours earlier .