Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: A semi-upright portable AP radiograph of the chest demonstrates a left internal jugular central venous line terminating at the expected location of the cavoatrial junction . There is a tracheostomy tube in place . There is moderate - to - severe diffuse interstitial pulmonary edema . There are layering bilateral pleural effusions . There is no pneumothorax .
    OUTPUT:
    
1 . The central venous line terminates at the cavoatrial junction . 2 . Findings suggestive of decompensated congestive heart failure .