Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Asymmetric pulmonary vascular engorgement in the right lung with minimal vascular engorgement in the left lung which may be asymmetric pulmonary edema or gravitational edema and less likely superimposed pneumonia , correlate clinically . Bilateral pleural effusions . Cardiac size appears slightly enlarged compared to previous with widening of the mediastinal contours , but this may be related to positioning . There is no pneumothorax .
    OUTPUT:
    
Asymmetric pulmonary vascular engorgement on the right which suggest asymmetric pulmonary edema or gravitational edema from positioning , and may represent superimposed pneumonia in the right clinical setting . Bilateral pleural effusions