Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Single frontal view of the chest . Tracheostomy and right - sided central venous catheter are stable . Left PICC is now oriented appropriately , terminating in the upper-mid SVC . Pulmonary vascular markings are more indistinct in comparison to the prior exam with increased vessel engorgement . Moderate - sized right pleural effusion with adjacent atelectasis is stable since the prior exam . Left lower lobe collapse and small left pleural effusion are stable . The cardiomediastinal contours are unchanged .
    OUTPUT:
    
1 . Slight interval increase in pulmonary vascular congestion . 2 . Left PICC now terminates in the upper-mid SVC . 3 . Stable moderate right and small left pleural effusions with adjacent atelectasis .