Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Since the prior exam , there has been interval removal of the right - sided PICC . There is blunting of bilateral costophrenic angles , right greater than left , consistent with pleural effusions . There is no evidence of pneumothorax . The heart is enlarged . There is also pulmonary vascular congestion . Osseous structures are grossly unchanged .
    OUTPUT:
    
Cardiomegaly , bilateral pleural effusions , and vascular congestion , all consistent with congestive heart failure .