Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: AP single view of the chest has been obtained with patient in upright position . Comparison is made with the next preceding studies obtained 2 and 6 hours earlier . Marked cardiac enlargement as before . Position of right - sided chest tube as well as smaller draining catheter unchanged . Unaltered position of previously described left - sided PICC line terminating in lower SVC and probably approaching right atrium . There is no evidence of pneumothorax . As before , markedly congested vascular pattern in lungs and evidence of bilateral pleural effusion . The congestive vascular pattern persists and may even have increased further . Size quantitation of this process on single chest view has limitations .
    OUTPUT:
    
Persistent pulmonary congestion and increased pleural effusions . No pneumothorax .