Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Left chest cardiac device and 2 lead tips , left VAD , left PA catheter , right jugular central venous line tip , right pleural drain , ___ mediastinal drains , and ETT are in similar position compared to prior . Feeding tube tip and esophageal temperature probe tip are in the stomach . Pulmonary vascular congestion is mild . There is mild pulmonary edema , similar to prior . The left costophrenic angle is obscured by the VAD . There is no focal consolidation or large effusion . Cardiomegaly is mild , as on prior .
    OUTPUT:
    
No large pleural effusions .