Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: A portable frontal chest radiograph demonstrates a right PICC terminating in the mid SVC and 2 right chest tubes , unchanged in position . The postoperative appearance of the mediastinum is unchanged . Lung volumes are slightly decreased , with increased right pleural effusion and associated atelectasis . There is mild vascular congestion There is no new focal consolidation , left pleural effusion , or pneumothorax .
    OUTPUT:
    
Lower lung volumes , with mild vascular congestion and slightly increased right pleural effusion and associated atelectasis .