Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is silhouetting of the right hemidiaphragm , likely due to a layering pleural effusion the right basal consolidation can not be excluded . The left lung appears grossly clear . An endotracheal tube is in - situ , the tip is approximately 7 cm above the level of the carina . A nasogastric tube terminates in the stomach . No pneumothorax . Mild pulmonary vascular congestion persists . A right - sided PICC terminates in the mid SVC .
    OUTPUT:
    
New silhouetting of the right hemidiaphragm likely due to a combination of a layering pleural effusion and right lower lobe atelectasis , superimposed infection can not be excluded . Persistent mild pulmonary vascular congestion .