Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Interval removal of the right IJ . No pneumothorax or subcutaneous emphysema . Mild pulmonary vascular congestion , slightly improved . Interval improvement in left lower lobe atelectasis . Stable small left pleural effusion . Stable prominent cardiomegaly and mediastinal contours . The two - lead cardiac device and sternotomy wires appear intact and unchanged in position . Incidental right clips from prior shoulder surgery appear intact . Incidental stable degenerative changes in the visualized thoracic spine .
    OUTPUT:
    
1 . No pneumothorax . 2 . Interval improvement in pulmonary vascular congestion and left lower lobe atelectasis . 3 . Persistent small left pulmonary effusion .