Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: AP portable upright view of the chest . Port - A - Cath resides over right chest wall with catheter tip extending into the SVC . Pulmonary edema is increased from prior , now severe . Small bilateral pleural effusions are likely present . Scarring is seen in the upper lungs . Hilar congestion is notable . Cardiomegaly is unchanged .
    OUTPUT:
    
Cardiomegaly , severe pulmonary edema and small bilateral pleural effusions .