Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The endotracheal tube remains in position with tip 5 cm cranial to the carina . A right internal jugular central venous catheter terminates in the mid SVC . A left internal jugular introducer remains at the confluence of the brachiocephalic . An upper enteric tube passes through the upper stomach and outside of the field of imaging . The cardiac silhouette remains massively enlarged but not significantly changed compared to prior study despite pericardial drainage catheter remaining in place though quite improved compared to ___ . Layering right - greater - than - left pleural effusions are unchanged in volume . There is no pneumothorax . Mild to moderate pulmonary edema is unchanged .
    OUTPUT:
    
Overall no significant change compared to prior examination with persistent massive enlargement of the cardiac silhouette , mild pulmonary edema and bilateral layering pleural effusions .