Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: A tracheostomy is in - situ . A right - sided PICC terminates in the mid to distal SVC . There is persistent cardiomegaly , even allowing for the projection . Persistent prominence of the pulmonary vasculature with mild pulmonary edema . No definite consolidation , pneumothorax or pleural effusion seen .
    OUTPUT:
    
No significant interval change when compared to the prior study . Persistent cardiomegaly and pulmonary vascular congestion .