Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The heart is severely enlarged , similar to prior . Right - sided PICC line tip is at the cavoatrial junction . The right IJ Cordis is been removed . There continues to be right lower lobe opacity compatible with volume loss / infiltrate / effusion . This is similar compared to prior . There is pulmonary vascular redistribution with ill - defined vascularity in the right upper lobe
    OUTPUT:
    
Similar appearance to prior