Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There has been interval retraction of the right PICC , now extending to the upper SVC . The Swan - Ganz catheter has been removed . Small bilateral pleural effusions with overlying atelectasis . There is persisting mild central vascular congestion , although decreased in extent since prior . No pneumothorax identified . The size and appearance of the cardiomediastinal silhouette is unchanged .
    OUTPUT:
    
Interval retraction of the right PICC line , the tip now extending to the upper SVC . Small bilateral pleural effusions with overlying atelectasis . Interval decrease in extent of the pulmonary vascular congestion . Findings were communicated to and acknowledged by ___ , MD at ___h___ by ___ , MD .