Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Endotracheal tube and Swan ganz were placed , the latter has the tip in the outflow tract The alignment of the sternotomy wires is unchanged . Heart appears bigger , with increased perihilar vascular drawings for vascular congestion . There is pleural effusion on the left side . No signs of pneumothorax IMPRESSION
    OUTPUT:
    
There is an increased vascular congestion along with pleural effusion on the left side . Positioning of monitoring device