Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lung volumes are low . There is a moderate right - sided pleural effusion . A pleural effusion is also suspected on the left . A mild interstitial abnormality is predominantly perihilar and suggests pulmonary vascular congestion . Prominence of each hilum also probably reflects mediastinal adenopathy as does widening of the right paratracheal stripe . Pulmonary nodules are not well assessed . Suture material projects over the left lower chest as before .
    OUTPUT:
    
Increasing right - sided pleural effusion and findings suggesting fluid overload or mild - to - moderate vascular congestion .