Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Swan - Ganz catheter terminates in the right pulmonary artery . Left pectoral transvenous pacer defibrillator lead projects over the right ventricle . The heart is severely enlarged . The mediastinal silhouette is unremarkable . There is no focal consolidation or pulmonary edema . There is no pneumothorax or pleural effusion .
    OUTPUT:
    
1 . Swan - Ganz catheter terminates in the right pulmonary artery . 2 . Severe cardiomegaly without manifestations of cardiac decompensation .