Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Endotracheal tube appears in place with the tip in the lower trachea . Right PICC line is unchanged with the tip in the mid SVC . Enteric tube tip traverses to the stomach . The lungs appear hyperinflated consistent with patient 's underlying emphysema . Volume loss is again noted , particularly on the right with rightward shift of the mediastinum . Since the prior study , there has been increased vascular congestion suggestive of heart failure . Additionally , there is increased right basilar atelectasis . Bilateral small pleural effusions appear stable . Cardiac and mediastinal silhouette appears stable . Levoscoliosis of the mid thoracic spine is again noted .
    OUTPUT:
    
1 . Interval increased right basilar atelectasis . 2 . Interval increased vascular congestion suggestive of heart failure . 3 . Bilateral small pleural effusions appear stable . 4 . Satisfactory position of supporting structures .