Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The ET tube , NG tube , and Swan - Ganz catheter have been removed . A right sided PICC line is again seen , tip over distal SVC , near cavoatrial junction . No pneumothorax detected . Again seen are sternotomy wires , with moderately severe cardiomegaly , similar to the prior study . There is vascular plethora and diffuse vascular blurring , consistent with CHF . This is probably similar in appearance . There are small to moderate bilateral effusions with underlying collapse and / or consolidation . Compared to ___ , the right effusion is probably larger , with a small amount of fluid now seen within the minor fissure . Again noted is a surgical clip overlying the right lung base -- this may or may not relate to the chest .
    OUTPUT:
    
1 . Marked cardiomegaly , with CHF and mild interstitial edema , probably unchanged . 2 . Bilateral effusions , with underlying bibasilar collapse and / or consolidation . The right effusion is larger compared with ___ . 3 . Lines and tubes as described .