Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The patient is rotated . The repositioned right IJ approach Swan - Ganz catheter tip now ends in the right pulmonary artery with its tip projecting over the right most aspect of the mediastinal silhouette , and could be pulled back about 2 cm . The right dialysis catheter remains unchanged position with its tip ending in the right atrium . No pneumothorax . Lung volumes remain low . Slight increase dopacity in the left hemithorax may be in part secondary to rotation and redistribution of overall unchanged moderate - to - severe pulmonary edema . Bilateral moderate pleural effusions persist . The heart remains moderately to severely enlarged . The pulmonary arteries are enlarged , suggesting chronic pulmonary hypertension .
    OUTPUT:
    
1 . Repositioned Swan - Ganz catheter could be pulled back 2 cm . 2 . Moderate - to - severe heart failure , possibly from volume overload . 3 . Possible concurrent pneumonia can not be excluded - close short term follow - up is advised .