Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral chest radiographs . A left - sided double - lumen central venous catheter tip terminates in the lower SVC . The pulmonary vasculature is engorged , but there is no pleural effusion or pneumothorax . The heart size is top normal .
    OUTPUT:
    
Pulmonary vascular engorgement without signs of overt edema .