Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: A left internal jugular catheter terminates within the left axillary vein . There is no pneumothorax . The lung volumes are low , which accentuates the bronchovascular structures . Despite this , there is evidence of mild pulmonary edema and congestion of the central vasculature . Pleural effusions are small if any . There is no pneumothorax . The aorta is very tortuous , and the ascending portion may be dilated . The hilar pulmonary arteries are dilated Calcifications are seen within the carotid arteries .
    OUTPUT:
    
1 . Malpositioned left internal jugular catheter . No pneumothorax . 2 . Mild pulmonary edema . 3 . Pulmonary hypertension . 4 . Possible dilatation , ascending thoracic aorta . These findings were discussed with Dr . ___ by Dr . ___ at 1 : 23 on ___ at the time of discovery by telephone .