Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lung volumes are stable . Minimal improvement of pulmonary vascular congestion , if any . The cardiomediastinal and hilar contours are normal . The left pleural effusion appears less prominent but this may be due to the erect position of today 's radiograph . Interval removal of ET tube and NG tube . The right IJ terminates in the cavoatrial junction .
    OUTPUT:
    
Minimal improvement of pulmonary vascular congestion . Unchanged of pleural effusion .