Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: A nasogastric tube courses into the stomach , where it makes a single loop and proceeds distally , its inferior extent not imaged . A right internal jugular central venous catheter terminates at the cavoatrial junction or slightly into the atrium . There is again a dual - lead pacemaker / ICD device in place . The patient is status post aortic valve replacement and probably coronary artery bypass surgery . The cardiac , mediastinal and hilar contours appear unchanged . There is persistent mild perihilar congestion , but pulmonary edema has improved . Pleural effusions are similar to improved bilaterally .
    OUTPUT:
    
Improving pulmonary edema and pleural effusions .