Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Heart size is normal . Cardiomediastinal silhouette is unremarkable . There is a central pulmonary vascular engorgement with moderate interstitial pulmonary edema . A right subclavian approach Port - A - Cath tip terminates in the right atrium . There is a small right - sided pleural effusion with increased density at the right base . There is no pneumothorax . Bones are diffusely demineralized .
    OUTPUT:
    
Pulmonary vascular congestion with moderate interstitial pulmonary edema and small right - sided pleural effusion . A confluent opacity at the right lung base may be secondary asymmetrical edema , though infection should also be considered in the appropriate clinical setting . Short - term followup radiographs after diuresis may be helpful in this regard , if warranted clinically . .