Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The Swan - Ganz catheter terminates in the right pulmonary artery , unchanged in position . The left pectoral transvenous pacer lead projects over the right ventricle . The heart is severely enlarged , unchanged compared to multiple priors . Mediastinal silhouette is unchanged . There is no pulmonary edema or focal consolidation . There is no pneumothorax or pleural effusion .
    OUTPUT:
    
Swan - Ganz catheter terminates in the right pulmonary artery , unchanged in position compared to prior radiograph from ___ .