Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Interval removal of NG tube . Standard placement of tracheostomy tube . Median sternotomy wires intact and aligned . Low lung volumes . Normal heart size . Unchanged , small left pleural effusion with underlying atelectasis . Unchanged , mild pulmonary vascular congestion .
    OUTPUT:
    
Unchanged mild pulmonary vascular congestion with small left pleural effusion .