Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: A new right internal jugular approach central venous catheter is present with tip terminating in the upper right atrium . There is no pneumothorax or large pleural effusion . Moderate cardiomegaly is unchanged . The mediastinal and hilar contours are unremarkable . The lungs are well - expanded without focal consolidation concerning for pneumonia . Severe pulmonary edema , again showing a more confluent pattern in the right lower lung but now also affecting the upper lobes and the left perihilar area , is worsened compared to the most recent prior study .
    OUTPUT:
    
1 . Right central venous catheter with tip in the upper right atrium . No pneumothorax . 2 . Severe pulmonary edema , significantly worsened since the previous exam .