Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: AP view of the chest provided . Lung volume are low . There are new large pleural effusions bilaterally , which opacifies the lower lungs and probably accompanies atelectatic changes . Heart size appears larger compared to prior study . The vascular pedicle also appears slightly widened , again reflecting increased central venous pressure . The right IJ line terminates in the right atrium . Esophageal drainage tube runs into the stomach and out of view . A small bore tube with multiple fenestration ends in lower esophagus just above the gastroesophageal junction .
    OUTPUT:
    
Evidence of volume overload , including new large bilateral pleural effusions , widened vascular pedicle , and enlarged heart .