Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Cardiomediastinal contours are stable with cardiomegaly and widening mediastinum . Vascular congestion has improved . Small Bilateral effusions have decreased , right greater than left . Them bibasilar atelectasis have also improved . There is no pneumothorax . Left PICC tip is in the lower SVC . Sternal wires , MVR , TVR are noted
    OUTPUT:
    
Improved vascular congestion , pleural effusions and atelectasis