Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Prior right - sided central venous catheter is no longer visualized . Severe cardiomegaly is again noted . There is no definite consolidation , large effusion or overt pulmonary edema . Tortuosity of the thoracic aorta is again seen .
    OUTPUT:
    
Cardiomegaly without superimposed acute cardiopulmonary process .