Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Again noted is a right PICC line with tip terminating in the mid-to - low SVC . The heart size is slightly enlarged compared to the prior studies . Hilar vessels are newly enlarged , and vascular caliber in the lung apices is also noted . There are small bilateral pleural effusions . There is no pneumothorax . Increased interstitial markings is indicative of chronic lung disease .
    OUTPUT:
    
Acute cardiac decompensation with mild edema , small bilateral pleural effusions , and increased heart size .