Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There has been interval removal of a right - sided PICC . The cardiac silhouette is markedly enlarged . There are small bilateral pleural effusions . Prominence and indistinctness of the hila and bilateral perihilar opacities are most consistent with pulmonary edema . Additional small patchy opacities in the mid lung zones bilaterally may relate to pulmonary edema although superimposed infectious process is not excluded in the appropriate clinical setting . There is severe compression of a lower thoracic vertebral body , stable , with focal kyphosis at this level .
    OUTPUT:
    
Markedly enlarged cardiac silhouette , small bilateral pleural effusions , and pulmonary edema suggest CHF . Superimposed infectious process not excluded in the appropriate clinical setting .