Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Left pectoral pacer and pericardial drain are unchanged in position . Endotracheal tube is in appropriate position with tip projecting 5 .5 cm cranial to the carina . NG tube is within the stomach although the tip is excluded on imaging . Although objectively the heart size is normal , there has been mild interval increase in the size of the cardiac silhouette with mildly increased prominence of the mediastinal veins . The moderate to large right pleural effusion is unchanged and the large left effusion is improved . Pulmonary edema has resolved . There is no pneumothorax .
    OUTPUT:
    
Mild interval increase in the cardiac silhouette with mildly dilated mediastinal veins warrant clinical evaluation of effective pericardial drainage . Right pleural effusion is unchanged and left effusion is improved . Left pacer , endotracheal tube , pericardial drain and NG tube are appropriately placed . Results were discussed over the telephone with Dr . ___ by ___ ___ at 20 :05 on ___ at time of initial review .