Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The endotracheal tube is approximately 1 .5 cm above the carina . The right subclavian catheter ends in the low SVC . The left trans subclavian pacer has 2 leads ending in the right atrium and right ventricle . The enteric tube extends into the stomach and out of view . Severe cardiomegaly is unchanged from most recent prior study however is much worse compared to chest x-ray from ___ . Moderate vascular congestion is stable . There is no pulmonary edema . Small right pleural effusion has improved . There is no pneumothorax .
    OUTPUT:
    
Small right pleural effusion has improved . There is no pulmonary edema . Moderate vascular congestion is unchanged . Chronic severe cardiomegaly . Severe cardiomegaly is unchanged from most recent prior study however is much worse compared to chest x-ray from ___ .