Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: IJ catheter tip is unchanged . Worsening pulmonary vascular congestion likely reflecting volume overload . Cardiomediastinal silhouette is notable for interval bulging of the left pulmonary outflow tract reflecting pulmonary arterial dilatation . This can be due to extensive vascular congestion and volume overload or perhaps embolic phenomena leading to acute increase in pulmonary pressures which needs to be correlated clinically . Heart size is top normal . No significant pleural effusions and no pneumothorax .
    OUTPUT:
    
Increased pulmonary vascular congestion with prominence of the left pulmonary outflow tract .