Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Cardiac silhouette size remains mildly enlarged . Mediastinal and hilar contours are unchanged . Mild pulmonary vascular congestion is noted , slightly improved in the interval . Previously noted patchy ill - defined opacities within both lungs appear somewhat improved , likely reflective of resolving infection . No new focal consolidation , pleural effusion or pneumothorax is present . Right PICC tip terminates in the mid SVC . Severe multilevel degenerative changes are noted in the thoracic spine .
    OUTPUT:
    
Interval improvement in appearance of ill - defined multifocal opacities likely reflective of resolving infection . Mild pulmonary vascular congestion , also improved from the prior study .