Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Single portable view of the chest . The lungs are clear of confluent consolidation . Blunting of the right costophrenic angle could be due to atelectasis or small effusion . Central pulmonary vascular engorgement . There is moderate enlargement of the cardiac silhouette which has progressed since prior . No acute osseous abnormalities are visualized .
    OUTPUT:
    
Moderate cardiomegaly , possible right - sided pleural effusion and pulmonary vascular congestion .