Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The right IJ central venous catheter has been removed . The right PICC line , right pigtail catheter , and NG tube are unchanged . The cardiac silhouette is quite enlarged , perhaps due to right paracardiac or paramediastinal pleural loculation or pericardial effusion . Left lower lobe atelectasis is unchanged , and there may be a small left pleural effusion .
    OUTPUT:
    
1 . Stable enlargement of the cardiac silhouette may be due to right pericardiac or paramediastinal pleural loculation or pericardial effusion . 2 . Interval removal of right IJ central line .