Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Lordotic positioning . Again seen is marked cardiomegaly . Allowing for technical differences , this is probably similar to the prior study . Crescentic opacity adjacent to the right heart border may correspond to the thickened inferior portion of the right hilum seen on the prior study . Allowing for technical differences between the 2 films , again seen is some patchy opacity in the right upper zone and possibly some increased retrocardiac opacity . No definite interval change is seen in these areas . Equivocal new focal opacity in the left upper zone . No overt consolidation is identified . A small left effusion is present is likely present . Possible minimal blunting of the right costophrenic angle , but no gross right effusion is seen . Again seen is an enteric tube extending beneath the diaphragm off the film and a right subclavian PICC line tip near cavoatrial junction .
    OUTPUT:
    
1 . Marked cardiomegaly is similar to the prior film , allowing for differences in positioning . 2 . Multifocal opacities most pronounced in the right upper and left lower zones again noted , non-specific , but compatible with pneumonic infiltrates . Equivocal new area of patchy opacity at the left upper zone . 3 . Although there may be small bilateral effusions , the difference , if any , is minimal . 4 . No definite superimposed CHF .