Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: A right tunneled central venous catheter terminates at the right atrium . A left PICC terminates at the mid right atrium . A nasogastric tube extends to at least the level of the stomach and beyond the scope of this study . The heart size is normal . Central pulmonary vascular congestion and moderate interstitial edema is similar since ___ . A moderate left pleural effusion is slightly improved . Persistent left retrocardiac opacities reflect atelectasis . There is no pneumothorax .
    OUTPUT:
    
1 . Unchanged moderate pulmonary edema . 2 . Decreased moderate left pleural effusion . 3 . Unchanged left lower lobe atelectasis . 4 . Left PICC terminates at the right atrium . To terminate within the SVC , the line would need to be withdrawn at least 3 .5 cm . The initial findings were discussed by Dr . ___ with Dr . ___ ___ telephone at the time of interpretation , 09 : 15 , ___ .