Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The right PICC line ends at the cavoatrial junction . Bilateral low lung volumes persist are overall unchanged . Bilateral focal patchy opacities , greater on the right , are more prominent compared to the exam earlier today . Heart is now mild to moderately enlarged , increased and new from the exam earlier on the same day . Slight blunting of the right costophrenic angle suggests a possible small pleural effusion . No definite left pleural effusion .
    OUTPUT:
    
Decompensated heart failure .