Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Support and monitoring equipment including an LVAD and Swan - Ganz catheter are unchanged in appearance when compared to the prior study . Severe cardiomegaly and pulmonary vascular congestion is unchanged compared to the prior study . No ___ pulmonary edema . Left lower lobe atelectasis . No other areas of consolidation seen . No pneumothorax seen .
    OUTPUT:
    
No significant interval change when compared to the prior study .