Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: AP upright and lateral views of the chest provided . Left IJ access dialysis catheter again noted with its tip in the cavoatrial junction . Cardiomegaly is unchanged . There is a moderate right pleural effusion with associated compressive lower lobe atelectasis . Hilar congestion and early interstitial edema is likely present . No left effusion . No pneumothorax . Bony structures are intact . Degenerative changes at the shoulders again noted , left greater than right .
    OUTPUT:
    
1 . Moderate right pleural effusion with compressive lower lobe atelectasis . 2 . Hilar congestion early interstitial edema . 3 . Stable cardiomegaly . 4 . Dialysis catheter in place .