Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The previously seen Swan - Ganz catheter has been withdrawn with the introducer tip terminating in the right internal jugular vein . The left transvenous pectoral pacer defibrillator lead terminates in the right ventricle . The right - sided PICC is seen as far as the mid SVC . The LVAD is again seen projecting over the apex of the heart . The lung volumes are low . The heart is severely enlarged . The mediastinal silhouette is unchanged compared to multiple prior radiographs . There is persistent mild pulmonary edema . Retrocardiac opacity and obscured but likely combination of atelectasis , pleural effusion , and edema .
    OUTPUT:
    
1 . Interval removal of the Swan - Ganz catheter . No pneumothorax . 2 . Persistent mild pulmonary edema . 3 . Opacity at the left lung base likely combination of atelectasis , pleural effusion , and pulmonary edema .