Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Single portable view of the chest . Dual - lumen left - sided central venous catheter is seen with distal tip in the right atrium . Given differences in technique , there has been no significant interval change in the degree of pulmonary edema when compared to prior . The cardiomediastinal silhouette is unchanged . Atherosclerotic calcifications again noted at the arch . No acute osseous abnormality is identified .
    OUTPUT:
    
Pulmonary edema , unchanged from prior .