Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Left IJ tube is unchanged and ends in at the confluence with the left subclavian vein . Lung fields are moderately inflated with reduced opacification bilaterally for reduced vascular congestion and reduced pleural effusion especially in the right base . Heart size is still markedly enlarged .
    OUTPUT:
    
Reduced vascular congestion with reduced consolidation and pleural effusion bilaterally , especially in the right lung . Persists severe cardiomegaly . All monitoring devices are unchanged .