Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: A right - sided tunneled central venous catheter , bilateral pigtail thoracostomy tubes , and a tracheostomy tube are appropriately positioned . Central pulmonary vascular congestion with mild pulmonary edema appears similar in comparison to the ___ examination , however , a right perihilar opacity in appears slightly improved , reflecting decreased fissural effusion and / or improved atelectasis or consolidation . There is no pneumothorax .
    OUTPUT:
    
1 . Improved right perihilar opacity , reflecting fissural effusion with adjacent atelectasis or consolidation . 2 . Unchanged mild vascular congestion and pulmonary edema . 3 . No pneumothorax .