Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Right chest wall port is again seen with catheter tip in the right atrium . There is pulmonary vascular congestion . Suspected small bilateral pleural effusions are noted . Cardiac silhouette is mildly enlarged as on prior . No acute osseous abnormalities .
    OUTPUT:
    
Pulmonary vascular congestion without overt edema . Small bilateral pleural effusions .