Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The patient has been we intubated , an endotracheal tube terminates within the abdomen is 5 cm above the level of the carina . There is unchanged moderate cardiomegaly and prominence of the pulmonary vasculature , the pulmonary vasculature also appears hazy consistent with a degree of congestive heart failure . No frank pulmonary edema seen . A right - sided PICC terminates in the distal SVC . No pneumothorax seen . A dual lead pacemaker is unchanged in appearance compared to the prior study .
    OUTPUT:
    
Findings consistent with a degree of congestive heart failure , similar when compared to the prior study .