Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: A PICC line terminates in the superior vena cava . The patient is status post sternotomy . The heart is again moderately to severely enlarged . The pattern of multifocal opacities is very similar to slight worse to the prior study , allowing for small differences in technique , particularly in the left upper lung , and most suggestive of vascular congestion . Confluent basilar opacities probably reflect atelectasis and a moderate right - sided pleural effusion . No pleural effusion is identifiable on the left . There is no pneumothorax .
    OUTPUT:
    
Similar findings suggesting mild vascular congestion with perhaps slight worsening . Similar basilar opacities and right - sided pleural effusion .