Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The Swan - Ganz catheter tip is near the origin of the right middle lobe pulmonary artery . It can be withdrawn approximately 4 cm to be in more standard position . A right PICC line is seen , terminating in the mid to lower SVC . Midline sternal wires are intact and well aligned . The cardiac silhouette is stably enlarged . There is mild vascular congestion , overall similar the most recent examination . There are bilateral pleural effusions , moderate on the left and small on the right . Associated bibasilar atelectasis also seen . There is no pneumothorax .
    OUTPUT:
    
Swan - Ganz catheter tip projects near the origin of right middle lobe pulmonary artery and can be withdrawn approximately 4 cm to be in more standard position .