Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Two frontal images of the chest were obtained . This exam is limited by underpenetration due to patient 's body habitus and by rotation of the patient . There is increased vascular congestion since previous imaging . The right IJ catheter is seen with the tip in the mid to low SVC . No pneumothorax or other complications are identified . The relative radiolucency of the left lung compared to the right lung is likely an artifact secondary to patient rotation . There is no clear evidence of pleural effusion on this exam . Cardiomediastinal silhouette is unchanged .
    OUTPUT:
    
Worsening pulmonary vascular congestion . New right IJ line with tip in the mid to low SVC .