Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Cardiac size is normal . The aorta is tortuous . Right pleural effusion has decreased . Vascular congestion has improved . Small left pleural effusion is grossly unchanged . There is no evident pneumothorax . Right pigtail catheters remain in place . .
    OUTPUT:
    
Improved vascular congestion and decrease in right pleural effusion