Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Single AP upright portable view of the chest was obtained . There is a moderate left - sided pleural effusion with overlying atelectasis , underlying consolidation is not excluded . There is prominence and indistinctness of the hila , suggesting pulmonary vascular engorgement / mild edema . Medial right upper lobe opacity may relate to pulmonary vascular congestion although a site of consolidation is not excluded . The cardiac silhouette is difficult to accurately assess due to the left base opacity . Mediastinal contours are unremarkable and aortic knob calcification is seen . The patient is rotated to the left .
    OUTPUT:
    
Moderate left pleural effusion with overlying atelectasis . Central pulmonary vascular engorgement / congestion . Medial right upper lung opacity most likely may relate to pulmonary vascular congestion , although underlying consolidation is not excluded .