Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: New left IJ central line terminates in the mid SVC . Aortic stent and spinal hardware are unchanged from prior exam . There is no pneumothorax . Bilateral pleural effusions are unchanged from prior exam . Pulmonary vascular engorgement is noted , similar to prior exam . No definite focal consolidation is seen . The cardiomediastinal silhouette is unchanged from prior exam . Left - sided rib fractures are again seen , better characterized on recent prior CT .
    OUTPUT:
    
Left IJ central line terminates in the mid SVC . No evidence of pneumothorax .