Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Left PICC courses through the left brachiocephalic vein , with tip not well seen , but likely in the upper SVC . Left lower lobe consolidation persists , with obscuration of the left hemidiaphragm . Moderate left parapneumonic effusion persists . There is also increased volume overload , with central venous congestion and interstitial edema . Probable small right pleural effusion . The heart size is normal .
    OUTPUT:
    
1 . Left lower lobe pneumonia , with parapneumonic effusion . 2 . Increased pulmonary edema and vascular congestion .