Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Right PICC tip terminates in the mid SVC , minimally withdrawn by approximately 2 cm . Patient is status post median sternotomy and CABG . Left - sided pacemaker device with leads terminating in the right atrium , right ventricle , and region of the coronary sinus is unchanged . Severe cardiomegaly is re - demonstrated . Mediastinal and hilar contours are within normal limits . Pulmonary vasculature is not engorged . Small right pleural effusion with right basilar atelectasis is similar . No new focal consolidation , left - sided pleural effusion or pneumothorax is present . There are no acute osseous abnormalities . Partially imaged in the upper abdomen is a stent within the proximal aorta .
    OUTPUT:
    
Right PICC tip has been minimally withdrawn by approximately 2 cm , now within the mid SVC . Small right pleural effusion and right basilar atelectasis , unchanged . Severe cardiomegaly without congestive heart failure .