Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The tip of the endotracheal tube terminates 3 .6 cm above the carina in appropriate position . A left chest AICD lead is in unchanged position . The tip of the nasogastric tube courses out of the field of view of this exam . Severe cardiomegaly is unchanged . There is obscuration of the left hemidiaphragm which likely reflects a combination of atelectasis and pleural effusion . There is no pneumothorax .
    OUTPUT:
    
Persistent mild vascular congestion . Severe cardiomegaly with left lower lobe atelectasis / pleural effusion .