Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Since the ___ examination there has been interval retraction of a right - sided PICC , now terminating within the upper right atrium . An endotracheal tube terminates 5 .1 cm above the carina . The heart remains enlarged , and there is persistent central vascular congestion with moderate pulmonary edema . Small bilateral pleural effusions are unchanged . There is no pneumothorax .
    OUTPUT:
    
1 . Interval retraction of a right - sided PICC , which remains in the upper right atrium . 2 . Unchanged cardiomegaly with superimposed moderate pulmonary edema . The findings were discussed by Dr . ___ with Dr . ___ ___ telephone at 1 :09 p .m . on ___ .