Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Dual lumen right sided central venous catheter tip terminates the lower SVC . Left - sided AICD device is noted with single lead in unchanged position . Epicardial leads , median sternotomy wires , and CABG clips are demonstrated . Heart size remains moderately enlarged , unchanged . Mediastinal and hilar contours are similar . Mild pulmonary vascular congestion is unchanged from prior . There is blunting of the costophrenic angles bilaterally compatible with trace pleural effusions , unchanged . No focal consolidation or pneumothorax is present . No acute osseous abnormality is visualized .
    OUTPUT:
    
Mild pulmonary vascular congestion and trace bilateral pleural effusions , unchanged .