Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: An NG tube extends below the diaphragm . An epidural catheter is in place . A right Port - A - Cath ends in the inferior vena cava , approximately 5 cm below the cavoatrial junction , which is changed from prior when it terminated in the right atrium . No pneumothorax or pleural effusion is present . Central vascular engorgement and indistinctness of the pulmonary vasculature is consistent with pulmonary vascular congestion .
    OUTPUT:
    
1 . No pneumothorax . 2 . Right Port - A - Cath ends in the IVC . Recommend pulling back by approximately 5 cm if desired location is cavoatrial junction . 3 . Mild pulmonary vascular congestion .