Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Bilateral IJ catheters are unchanged in position . An endotracheal tube terminates 4 .1 cm above the carina . An orogastric tube extends to at least the level of the stomach , with the tip excluded on this radiograph . Small bilateral pleural effusions are again seen , unchanged on the right and slightly worsened on the left . There is continued central pulmonary vascular congestion . There is no pneumothorax .
    OUTPUT:
    
1 . Increased small left pleural effusion . 2 . Unchanged small right pleural effusion .