Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: AP view of the chest provided . A right PICC line extends to at least the cavoatrial junction and possibly the right atrium . Prominent pulmonary vascular markings are new . No pneumothorax . A moderate left pleural effusion is new . Cardiomediastinal contours are normal .
    OUTPUT:
    
1 . Pulmonary vascular engorgement and a moderate left pleural effusion are consistent with a volume overload . 2 . A right PICC line extends to at least cavoatrial junction , possibly the upper right atrium .