Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Severe cardiomegaly is unchanged . Given lack of vascular prominence heart disease is likely confined to cardiomyopathy versus a pericardial effusion . The upper mediastinal silhouette is normal . No focal consolidations , pleural effusions , or pulmonary edema are seen . Of note a right Port - A - Cath is seen with the tip terminating in the jugular vein .
    OUTPUT:
    
1 . No focal evidence of pneumonia . 2 . Severe stable cardiomegaly . 3 . Right - sided Port - A - Cath with the terminal tip projecting in the right jugular vein .