Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The size of the cardiomediastinal silhouette is enlarged but unchanged . Interval apparent decrease in extent of the bilateral pleural effusions however there is persisting lower lobe atelectasis / consolidation , greater on the left . No pneumothorax identified . Pulmonary vascular congestion is present . Interval removal of the left PICC line . The patient is status post TAVR .
    OUTPUT:
    
Pulmonary vascular congestion . Interval apparent decrease in the in the extent of the bilateral pleural effusions however there is persisting bilateral lower lobe atelectasis / consolidation , greater on the left .