Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Compared with the immediate prior radiographs , there is little change . Large layering right pleural effusion , severe pulmonary edema , and moderate cardiomegaly are unchanged . There may be slight improvement in left - sided opacities , compatible with either edema or atelectasis , although superimposed consolidation can not be ruled out . A left IJ Swan - Ganz catheter has been removed . A right subclavian central venous catheter tip ends in the right atrium , and a left IJ introduction sheath ends at the level of the left brachiocephalic vein . Endotracheal tube ends 5 .6 cm from the carina and the enteric tube and side port end within a decompressed stomach . The right basilar pleural drain is in unchanged position .
    OUTPUT:
    
1 . All lines and tubes in standard position . 2 . No pneumothorax . 3 . Persistent large layering right pleural effusion and severe pulmonary edema .