Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The endotracheal tube ends 3 .5 cm above the level of the carina . A right PICC ends in the mid to low SVC , unchanged . A looped catheter versus wire projects over the left upper abdominal quadrant , unchanged compared to the prior study , presumably external to the patient . There are embolization coils projecting over the left upper abdominal quandrant . Severe left retrocardiac atelectasis is unchanged . Mild - to - moderate pleural effusions are not significantly changed . Enlargement of the heart is similar to the prior study . The mediastinal contours are unchanged . There is no pneumothorax . There is mild right lower lung atelectasis , unchanged . There is vascular congestion .
    OUTPUT:
    
1 . Unchanged dense left retrocardiac atelectasis . 2 . Unchanged small to moderate bilateral pleural effusions . 3 . Vascular congestion , without overt evidence of pulmonary edema .