Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Endotracheal tube remains in place with the tip projecting 5 cm cranial to the carina . There has been interval increase in size of the cardiac silhouette as well as distention of the mediastinal vasculature , compatible with congestion without interstitial edema . Lung volumes are low with associated bibasilar atelectasis . A left PICC remains in place with the tip projecting over the upper SVC . There is no pleural effusion or pneumothorax .
    OUTPUT:
    
Central pulmonary vascular congestion , without frank edema . Endotracheal tube and left PICC are appropriately placed .