Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: AP single view of the chest has been obtained with patient in sitting semi-upright position . Analysis is performed in direct comparison with the next preceding similar study of ___ . Hazy basal densities obscure portions of cardiac contours . However , at least moderate cardiac enlargement is likely to exist . The pulmonary vasculature is congested with significant perivascular haze throughout . On the left side , the diaphragm is obscured and the lateral pleural sinuses blunted , suggestive of pleural effusion . The right - sided lateral pleural sinus is clear . There is crowded appearance of the pulmonary vasculature on the bases suggestive but not conclusive for bilateral pleural effusions . A chest lateral projection would be helpful to clarify the question concerning the patient 's bilateral pleural effusion . Right - sided PICC line is again noted and still reaches rather far into the cardiac silhouette and pull back of the lumen by about 4 cm is recommended .
    OUTPUT:
    
Persistent pulmonary vascular congestion and probably posterior located pleural effusions . These findings matches those suggested by a recent abdominal CT . Single AP chest view has limitations to identify small - to - moderate pleural effusions in the posterior compartments .