Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Findings are consistent with heart active failure . Moderate cardiomegaly is chronic . A moderate right pleural effusion , largely fissural best is seen along the costal surface in the lower chest and projected over the lower lung , has increased . Pulmonary vasculature is more dilated bilaterally than on previous exam and there has been an increase in mild pulmonary edema . The left lower lobe is collapsed . There is no pneumothorax . The right IJ line ends in the upper right atrium and would have to be 2 - 3 cm to end in the low SVC . A band of hyperlucency across most of the upper abdomen , is more likely due to scaphoid abdomen than pneumoperitoneum than , but if there is clinical concern for pneumoperitoneum , a fully upright frontal image is recommended to detect gas under the diaphragm . A Dobbhoff tube ends appropriately in the stomach .
    OUTPUT:
    
Increased , mild pulmonary edema and enlarging moderate right pleural effusion , largely fissural , probably due to heart failure . Left pleural effusion may be secondary to persistent left lower lobe collapse . Possible pneumoperitoneum versus scaphoid abdomen . Recommend getting a fully upright frontal image if clinical concern exists for pneumoperitoneum . Dr ___ reported these findings by telephone to ___ at 12 :55 p .m . on ___ .