Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Tracheostomy tube in situ with the tip 30 mm proximal to the carina . Right - sided PICC line in situ with the tip seen in the lower aspect of the right atrium . Left - sided central line in situ with the tip in the distal SVC . Nasogastric tube in situ with the tip in the D1 area . Evidence of previous sternotomy . LVAD in situ with its position unchanged . Mild interval progression of the pulmonary vascular congestion . Background pulmonary parenchymal opacification appear similar compared to prior . Persistent left lower lobe atelectasis unchanged .
    OUTPUT:
    
Tubes and lines as described above . Mild interval increase in the pulmonary vascular congestion . Background pulmonary parenchymal opacification appears similar compared to prior .