Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The 2 right - sided chest tubes have been removed . There is no pneumothorax . The heart is moderately enlarged , it and is slightly larger than on the prior study . The Swan - Ganz catheter , left IJ , ET tube , sternal wires , an other external devices appear unchanged .
    OUTPUT:
    
Slight worsening in fluid status .