Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: In comparison 05 : 12 portable chest radiograph , there are no new changes . Moderate cardiomegaly with pulmonary vascular congestion and diffuse bilateral alveolar edema ( right side greater than left ) are again seen . There is likely layering pleural effusions . The right pulmonary catheter tip terminates 4 .5 cm beyond the central right hilum , either in the distal interlobar or right lower lobe branch . The endotracheal tube terminates 5 cm above the carina . The NG tube crosses the diaphragm however the tip is not visualized in this study . There is no pneumothorax nor acute bony abnormality seen
    OUTPUT:
    
1 . Since ___ : 12 am portable chest radiograph , there has been no significant change in widespread alveolar opacities . 2 . Distal location of Swan Ganz catheter as detailed above .