Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: In comparison to the chest radiograph obtained ___ , there are new , small , bilateral pleural effusions , new , mild pulmonary vascular congestion , and new , mild cardiomegaly . Lungs are otherwise clear without focal consolidations . No pneumothorax . A right - sided PICC terminates in the upper SVC .
    OUTPUT:
    
Effusions , pulmonary vascular congestion , and cardiomegaly suggestive of volume overload .