Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Single portable radiograph is provided . Cervical fusion hardware is noted . Right internal jugular catheter has been removed . Dobbhoff tube is seen below the diaphragm . Left PICC terminates in the lower SVC . Again seen is pulmonary vascular congestion , slightly worse since the prior exam and a small left pleural effusion . Cardiomediastinal silhouette is unchanged . Osseous structures are intact .
    OUTPUT:
    
Slight increase in pulmonary edema since the prior . Small left pleural effusion .