Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Prior right central venous catheter and left PICC are no longer visualized . There is mild vascular congestion without overt pulmonary edema . There is no effusion . Degree of cardiomegaly is stable . Atherosclerotic calcifications again noted at the aortic arch . Vertebroplasty changes are noted in the lumbar spine .
    OUTPUT:
    
Vascular congestion without overt pulmonary edema or focal consolidation .