Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Compared with 1 day prior , I doubt significant interval change . Again seen an aortic replacement device in relation to the ascending aorta . Cardiomediastinal silhouette appears similar . Possibility of slight volume loss on the left can not be excluded , similar to prior . There are bilateral effusions with underlying collapse and / or consolidation , similar to prior . There is upper zone redistribution , consistent with CHF , also overall similar to the prior film . The possibility of underlying parenchymal scarring can not be excluded . Compared to the prior film , there may be some increased opacity in both lung apices , though there is also more lordotic positioning on the current film . 3 drains , tapes or other devices overlie the upper chest . Clips again noted in the region of the GE junction . Left - sided PICC line lies in the region of the cavoatrial junction .
    OUTPUT:
    
Possible new opacities in the bilateral apices . This may be related to CHF or , less likely , new areas of aspiration / infectious infiltrate . If related to CHF , that it represents a slight increase in CHF compared to the prior film . Otherwise , overall similar to 1 day prior .