Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Left chest wall port catheter tip is in the right atrium , as on prior . Pulmonary vascular congestion and edema are mild . There are moderate bilateral effusions and lower lung volume loss . There is no pneumothorax . Cardiomegaly is severe .
    OUTPUT:
    
Moderate bilateral effusions and lower lung volume loss are worse compared to prior .