Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: A portable frontal chest radiograph again demonstrates multiple endobronchial devices , unchanged in position . Vascular congestion and pulmonary edema and may be minimally increased compared to the most recent chest radiograph . There is no large pleural effusion , and no pneumothorax .
    OUTPUT:
    
Minimal increase in vascular congestion and pulmonary edema .