Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Single portable view of the chest is compared to previous exam from ___ . Dual - lumen central venous catheter again seen with distal tip within the proximal right atrium . There is engorgement of the central pulmonary vascular markings , and slightly indistinct vascular markings peripherally . Right - sided pleural effusion is identified . Cardiac silhouette is stable as are the osseous and soft tissue structures .
    OUTPUT:
    
Engorged pulmonary vasculature and right pleural effusion without frank pulmonary edema .