Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Right - sided central venous catheter with tip over the lower SVC is unchanged . There is pulmonary vascular congestion and small bilateral effusions , larger on the left but unchanged from prior . Degree of vascular congestion is unchanged . Cardiomediastinal silhouette is stable . Median sternotomy wires are intact . Mild height loss of amid to lower thoracic vertebral body is unchanged compared to remote prior .
    OUTPUT:
    
No significant interval change .