Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Right PICC is identified , however tip is not clearly delineated , obscured by leads from triple lead pacing device . Lung volumes are low with vascular crowding . There is superimposed vascular congestion and mild edema which has progressed since prior . No definite large focal consolidation noting that the left costophrenic angle is excluded from the field of view . Cardiomediastinal silhouette is stable .
    OUTPUT:
    
Pulmonary vascular congestion has progressed since prior .