Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Lung volumes are low . Aeration of the right lung appears slightly worse . A large right pleural effusion has increased . The appearance of the left lung is overall unchanged . Small left pleural effusion is slightly increased . The heart borders are not well seen secondary to effusion , but is probably overall unchanged in size . No pneumothorax . Pulmonary vascular congestion is moderate and worse . Left PICC line is unchanged . Enteric tube traverses the midline its tip seen , but the side port projects over the left upper quadrant .
    OUTPUT:
    
1 . Progressive large right and small left pleural effusion . 2 . Increased bilateral pulmonary vascular congestion .