Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Since 4 hours prior , there has been interval increase pulmonary edema . After confirmation with Dr . ___ , an apical predominance of the edema is likely due to the patient 's laying in ___ position prior to the radiograph thickening obtained . Severe cardiomegaly is unchanged . There has been interval removal of the left IJ Swan - Ganz catheter and placement of a right IJ Swan - Ganz catheter . A left IJ central venous catheter introducer remains in place . Mediastinal drains are essentially unchanged in position . An ET tube terminates 5 cm above the carina . An enteric tube side port projects over the proximal stomach . Neither costophrenic angle is visualized , but there no large pleural effusions are present .
    OUTPUT:
    
Increased pulmonary edema with an apical predominance caused by a Trendelenburg positioning as described above .