Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The examination is limited by low lung volumes and lordotic positioning . The heart size is not well assessed on this lordotic view but appears enlarged . There is a left - sided Port - A - Cath with tip terminating in the lower IVC . There is left greater than right small pleural effusions with associated bibasilar atelectasis . Perihilar vascular prominence is suggestive of fluid overload . No acute bony abnormality is identified . No pneumothorax .
    OUTPUT:
    
Findings suggestive of congestive heart failure including apparent large heart size , small pleural effusions and prominent perihilar pulmonary vasculature .