Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral views of the chest . Again seen is severe enlargement of the cardiac sillouhette . There is no focal consolidation , pleural effusion , or pneumothorax . The mediastinal and hilar contours are unchanged . A right central venous catheter has been removed .
    OUTPUT:
    
Severe enlargement of the cardiac siillouhette , unchanged , likely cardiomegaly .