Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Frontal radiograph of the chest . Compared to the prior study , the patient has been extubated . There is no change in the right internal jugular central venous catheter . Enteric tube has been removed . Marked cardiomegaly is unchanged with pericardial effusion noted on recent CT . Widened mediastinum is unchanged . Degree of bilateral pulmonary vascular congestion and increased interstitial markings indicative of pulmonary edema is unchanged . Left lower lobe ateleftasis or pneumonia , opacity .
    OUTPUT:
    
Interval extubation and removal of enteric tube with unchanged severe cardiomegaly , moderate pericardial effusion , and moderate pulmonary edema .