Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Single frontal portable view of the chest demonstrates small bilateral pleural effusions . The right pleural effusion has decreased slightly in size and the left remains unchanged . Heart size is enlarged . Increased perihilar prominence and cephalization of vasculature is compatible with volume overload . A left dialysis catheter terminates in the mid SVC . A right - sided pacemaker is seen with wires terminating in the right atrium and right ventricle , as expected . There is no suspicious osseous lesions . No pneumothorax is seen .
    OUTPUT:
    
Volume overload marked by cardiomegaly , bilateral small pleural effusions and increased vascular prominence .