Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Multiple left rib fractures are present . Since ___ , bilateral , minimal pleural effusions and bibasal atelectasis , left side more than right , have worsened . Prominent pulmonary vasculature , fullness of azygos vein and mildly widened mediastinal contour suggests pulmonary vascular and mediastinal congestion . Top normal heart size is unchanged . Tip of epidural catheter ends at D4 / D5 vertebral level .
    OUTPUT:
    
1 . Since ___ , bilateral mild pleural effusions and bibasal atelectasis , left side more than right , have worsened . 2 . Pulmonary vascular and mediastinal congestion ; however , no frank evidence of pulmonary edema . 3 . Multiple left rib fractures .