Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Compared to prior exam , there is now marked elevation of the right hemidiaphragm with right basilar atelectasis . Additionally , there is shift of the heart and mediastinum towards the left , also with retrocardiac atelectasis . Prominence of the pulmonary vasculatures is present . Blunting of the left costophrenic angle raises the question of a small pleural effusion . No pneumothorax is seen .
    OUTPUT:
    
1 . Pulmonary vascular congestion . 2 . Right hemidiaphragmatic elevation with associated atelectasis , but no pneumothorax - findings raise the question of right phrenic nerve abnormality , volume loss , or mass effect from abdominal ascites .