Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: A left - sided Port - A - Cath is again seen , terminating at the cavoatrial junction . Small right pleural effusion is seen . There is stable enlargement mild of the cardiac silhouette . Again seen is engorgement of the central pulmonary vessels consistent with elevated pulmonary venous pressure . Subtle left base retrocardiac opacity may relate to pulmonary congestion although underlying consolidation is difficult to exclude . No pneumothorax is seen .
    OUTPUT:
    
Small right pleural effusion . Again seen is engorgement of the central pulmonary vessels consistent with elevated pulmonary venous pressure . Subtle left base retrocardiac opacity may relate to pulmonary congestion although underlying consolidation is difficult to exclude