Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Bilateral pleural effusions persist and are likely increased slightly . Heart size is again noted to be enlarged . Pulmonary vascular engorgement persists and is similar . Lung volumes are low . Linear opacities at the right base appear similar compared to prior and likely represent atelectasis or scarring . Lumbar spine hardware is incompletely imaged . Right - sided dialysis catheter is poorly evaluated on this study , but likely terminates in the low right atrium . Right subclavian stent is again noted .
    OUTPUT:
    
Stable cardiomegaly , pulmonary vascular prominence , and bilateral pleural effusions , probably increased somewhat .