Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Compared with ___ at 15 :46 , the right IJ catheter is no longer seen . There is suggestion of a small right apical pneumothorax , new or significantly more pronounced than on compared with the prior study . Again seen is marked cardiomegaly and what appears to be vascular engorgement and CHF , as well as extensive opacity of both lungs , including air bronchograms in the retrocardiac region and obscuration of the left hemidiaphragm Again seen is thickening of the minor fissure with some hazy focal opacity immediately above lateral portion of the minor fissure . The possibility of small bilateral effusions can not be excluded . The overall degree of vascular engorgement and opacity in the lungs is similar to the prior film .
    OUTPUT:
    
1 . Interval removal of right IJ central line . 2 . New or significantly more pronounced small right apical pneumothorax . 3 . Cardiomegaly . Allowing for obscuration by surrounding opacities , this is similar to prior . 4 . Probable CHF , with interstitial edema , similar to the prior study . The presence of an alveolar component in certain areas can not be excluded . 5 . Left lower lobe collapse and / or consolidation and opacity at the right lung base , similar to the prior film . 6 . Neoplastic abnormalities in the lungs would be difficult to distinguish from other opacities radiographically .