Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Severe cardiomegaly is again demonstrated . The right internal jugular line has been removed . Left - sided dual lead pacemaker is unchanged in position . There is new substantial posterior right lower lobe atelectasis . The cardiomediastinal silhouette is unchanged . There is no evidence of pneumothorax
    OUTPUT:
    
Interval removal of right internal jugular line and substantial right lower lobe atelectasis .