Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The tip of the Swan - Ganz catheter is kinked and projects back on itself likely within the main pulmonary artery . Multiple mediastinal drains and a left chest tube are present . The tip of the endotracheal tube projects over the mid thoracic trachea . A gastric tube extends into the stomach . A retrocardiac opacity is present , likely postprocedural atelectasis and a pleural effusion . No pneumothorax identified although there is a small amount of postprocedural pneumomediastinum . There are increased right perihilar opacities and vascular engorgement in keeping with pulmonary edema . A small layering right pleural effusion is also suspected .
    OUTPUT:
    
The tip of the Swan - Ganz catheter is kinked and projects back on itself , still likely within the main pulmonary artery . Pulmonary edema . Retrocardiac opacity , likely a combination of atelectasis and pleural fluid .