Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There has been interval removal of right - sided IJ line . Median sternotomy wires and mediastinal surgical clips are noted . Again seen is severe cardiomegaly , unchanged from prior . There is evidence of pulmonary vascular congestion without overt pulmonary edema , possibly minimally improved in comparison to prior exam . The may be a persistent trace right pleural effusion . There is no left pleural effusion . There is no focal lung consolidation . An abnormal appearance of the right lower lung is similar to priors , at least in part due to right pleural thickening . There is no pneumothorax .
    OUTPUT:
    
1 . Irregular appearance of the right lower lung due to pleural thickening and basilar atelectasis , lowering the sensitivity for the detection of pneumonia in this region . If clinically suspsected , CT could further evaluate this area . 2 . Interval removal of right IJ line . Stable severe cardiomegaly . Pulmonary vascular congestion persists , possibly minimally improved . No overt pulmonary edema . Persistent trace right pleural effusion .