Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Interval placement of a right - sided IJ central venous line , with the tip terminating in the distal SVC at the cavoatrial junction . The heart remains markedly enlarged , which may reflect cardiomegaly although pericardial effusion should also be considered . There has been interval appearance of mild interstitial edema . No focal airspace consolidation , pleural effusion , or pneumothorax .
    OUTPUT:
    
Persistent massive cardiomegaly with increasing , now moderate pulmonary edema .