Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Again seen is a right - sided PICC line with its tip terminating 4 cm below the carina , at the cavo-atrial junction . The heart size is mildly enlarged . The hilar and mediastinal contours are unremarkable . There has been interval improvement of the previously seen vascular congestion . No new focal consolidations are identified . There is no evidence of a pleural effusion or pneumothorax . Again seen is a cervical fusion plate . There is no evidence of a pneumothorax .
    OUTPUT:
    
Interval improvement of the previously seen vascular congestion . No new focal consolidations identified .