Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There has been interval removal of a previously seen right - sided PICC . The cardiac silhouette is mild to markedly enlarged . Mediastinal contours are stable . There are the small bilateral pleural effusions . Mild pulmonary vascular congestion is seen . No frank focal consolidation . No pneumothorax is seen .
    OUTPUT:
    
Moderate to marked enlargement of the cardiac silhouette with mild pulmonary vascular congestion . Small bilateral pleural effusions .