Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Portable semiupright radiograph of the chest demonstrates low lung volumes with resulting bronchovascular crowding . There is a small left - sided pleural effusion with adjacent atelectasis which is unchanged from the prior study . Again seen is some engorgement of the pulmonary vasculature , consistent with pulmonary edema . Cardiomediastinal and hilar contours are unchanged . A right - sided internal jugular central venous line ends at the cavoatrial junction .
    OUTPUT:
    
1 . Small left - sided pleural effusion with adjacent atelectasis , not significantly changed . 2 . Engorgement of pulmonary vasculature consistent with pulmonary edema .