Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Left ventricular assist device projects over the left lower hemithorax / upper abdomen . Dual lead ICD with the right ventricular lead in the appropriate position , but the right atrial lead projects inferiorly ( unchanged compared to prior imaging ) . Discontinuity of the superior most sternal wire but the sternal wires are well aligned . Right - sided PICC line in situ with the tip in the mid SVC . No pneumothorax . Stable transverse cardiomegaly . Presumed left lower lobe atelectasis . There is mild increase in congestion of the pulmonary vessels and the fluid seen in the right transverse fissure is unchanged , but there is no new overt pulmonary edema .
    OUTPUT:
    
Mild increase congestion of the pulmonary vessels but no overt pulmonary edema .