Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Right internal jugular central venous catheter tip terminates in the region of the confluence of the brachiocephalic veins . No large pneumothorax is identified on this supine exam . Hazy opacification of the right hemithorax likely reflects a large layering right pleural effusion . Moderate to severe cardiomegaly is re - demonstrated . Mediastinal and hilar contours are relatively unchanged . No focal consolidation or overt pulmonary edema is clearly evident . Rotary dextroscoliosis of the thoracic spine is again noted .
    OUTPUT:
    
Right internal jugular central venous catheter tip terminates at the confluence of the brachiocephalic veins . No large pneumothorax on this supine exam . Large layering right pleural effusion .