Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Portable AP chest radiograph . Right - sided PICC tip is at the cavoatrial junction . NG tube courses below the diaphragm and terminates outside the field of view . Pulmonary vascular engorgement is slightly worse than on radiograph from three hours prior and the left heart border is less conspicuous . Pleural effusions remain small . The heart size is stable . There is no pneumothorax .
    OUTPUT:
    
Slight interval increase in vascular congestion concerning for volume overload .