Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is stable massive cardiomegaly which does not show any improvement in past 48 hours . There is significant dilatation of the main pulmonary artery which also has not abated . Lung volumes are low and unchanged with left - sided atelectasis essentially the same . There is no pneumothorax . IJ catheter sheath is seen in position terminating within the mid SVC . A supraclavicular triple - lumen catheter is seen terminating within the right atrium . Moderate bilateral pleural effusions are unchanged .
    OUTPUT:
    
No decrease in massive cardiomegaly or pulmonary artery dilatation . Echocardiography is recommended to further evaluate this finding . These findings were reported to physician assistant , Ms . ___ , at 12 : 10 p .m . via phone by ___ .