Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Endotracheal and nasogastric tubes have been removed . Changes of median sternotomy , with continued leftward displacement of the fourth inferiomost sternal wire . There is continued moderate - to - severe enlargement of the cardiac silhouette . Pulmonary aeration is slightly improved , with residual left lower lobe atelectasis . Stable central venous congestion and interstitial pulmonary edema . Small bilateral pleural effusions are unchanged .
    OUTPUT:
    
1 . ETT and NGT removal . 2 . Moderate - to - severe cardiomegaly and pulmonary edema . 3 . Slightly improved pulmonary aeration .