Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: As compared to ___ , endotracheal tube is 4 cm from the carina in has been advanced . The Swan - Ganz catheter is now in the main pulmonary artery in good position . The remaining support devices are unchanged . Cardiomediastinal contours given for differences in rotation are unchanged . Moderate severe cardiomegaly persists . Bibasal opacities have slightly increased . Small bilateral pleural effusions persist . Left breast implant is unchanged .
    OUTPUT:
    
No significant interval change in widened mediastinal contours , please refer to the CT report performed 1 day prior .