Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: AP single view of the chest is obtained with patient in sitting semi-upright position . Analysis is performed in direct comparison with the next preceding similar study of ___ . Cardiac enlargement and right - sided Port - A - Cath system via internal jugular approach as before . There is now marked congestive pulmonary vascular pattern with distended vessels and perivascular haze . Centrally located parenchymal densities are indicative of pulmonary edema . In comparison with the previous study , a sizeable left - sided pleural effusion has developed reaching up to the hilar level . The right - sided lateral pleural sinus , however , remains free .
    OUTPUT:
    
Acute pulmonary congestion with central pulmonary edema and left - sided pleural effusion . Report has been issued at 2 : 15 p .m . as the study remained non-verified for more than 10 hours .