Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Portable AP chest film ___ at 13 : 18 is submitted .
    OUTPUT:
    
Increasing layering effusions with patchy bibasilar opacities likely reflecting compressive lower lobe atelectasis . Pulmonary vascular congestion with no overt pulmonary edema . Right basilar pigtail pleural catheter remains in place as does nasogastric tube coursing below the diaphragm and right subclavian PICC line . No pneumothorax is appreciated . Heart remains enlarged .