Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Since ___ , pulmonary vascular congestion has minimally improved . Severe cardiomegaly and widening of the vascular pedicle are unchanged . Pleural effusions small , if any . An ETT tip terminates approximately 3 cm above the carina . A left - sided IJ central venous catheter terminates near the superior cavoatrial junction . An enteric tube terminates in the mid stomach .
    OUTPUT:
    
Minimally improved pulmonary vascular congestion .