Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Again a catheter seen terminating in the right axilla , possibly a midline vascular access catheter , unchanged in appearance compared to the prior study . There are persistent bilateral perihilar airspace opacities with prominence of the upper lobe vasculature consistent with pulmonary edema and pulmonary vascular congestion . The extent is similar when compared to the prior study . Silhouetting of the left hemidiaphragm consistent with left lower lobe atelectasis . Probable bilateral pleural effusions poorly visualized on this semi-erect AP view . No pneumothorax seen .
    OUTPUT:
    
Unchanged appearances when compared to the prior study .