Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: A Dobbhoff tube extends beyond the scope of this study . The heart is mildly enlarged . The central pulmonary vessels are slightly more prominent . There is no pulmonary edema , pneumothorax , or pleural effusion . A persistent left retrocardiac opacity is minimally changed since ___ .
    OUTPUT:
    
Increased pulmonary vascular engorgement since ___ , without pulmonary edema . Unchanged left basilar atelectasis .