Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Overall , there has been no significant interval change of the diffuse nodular and patchy bilateral airspace opacity compared to the prior exam performed at 4 :35 p .m . on the same day . The mediastinum overall appears widened . There is a right - sided internal jugular line with the tip in the mid SVC . The aortic knob again appears to be calcified .
    OUTPUT:
    
Overall , no significant interval change of the bilateral nodular and patchy airspace opacities , likely secondary to pulmonary edema in the setting of congestive heart failure . Right - sided IJ line terminates in the lower SVC .