Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: AP portable upright view of the chest . Since the ___ examination there has been interval extubation and removal of an orogastric tube . A left PICC terminates at the lower SVC . The heart size is top normal . There is central pulmonary vascular congestion with minimal edema , overall unchanged since ___ . A small left pleural effusion has decreased in size . There is no pneumothorax .
    OUTPUT:
    
Central pulmonary vascular congestion with minimal edema remains unchanged . Small left pleural effusion is decreased in size since ___ .