Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Lung volumes have decreased , and the heart continues to be severely enlarged . There is a moderate right pleural effusion with fluid tracking along the minor fissure . The low lung volumes cause crowding of the central bronchovascular structures , and there is central pulmonary vascular congestion . No pneumothorax is seen .
    OUTPUT:
    
Cardiomegaly with moderate right pleural effusion and central pulmonary vascular congestion . Low lung volumes .