Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The heart is mildly enlarged . There is continued central pulmonary vascular congestion , but no overt edema . The patient has been extubated , and multiple lines , including a Swan - Ganz catheter , a left thoracostomy tube , mediastinal drains , and orogastric tube have been removed . There is a new small right pleural effusion . The lung volumes are low . There is no pneumothorax .
    OUTPUT:
    
1 . Interval removal of multiple support lines . 2 . New small right pleural effusion . 3 . No pneumothorax .