Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The tracheostomy tube is approximately 2 cm from the carina , and unchanged in position . A right PICC ends at the superior atriocaval junction . Mild vascular congestion is unchanged from the prior radiograph . There is stable enlargement of the cardiomediastinal silhouette . There is no pleural effusion or pneumothorax . There is no new consolidation . A feeding tube is seen in the stomach with the tip out of the field of view .
    OUTPUT:
    
Stable mild vascular congestion and cardiomegaly . No significant change from prior radiographs .