Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Portable AP chest radiograph ___ at ___ :___ is submitted .
    OUTPUT:
    
The right internal jugular Swan - Ganz catheter has its tip in the right pulmonary outflow tract . Right subclavian PICC line unchanged in position . Heart remains stably enlarged which may reflect cardiomegaly , although pericardial effusion could also have this appearance . The right pleural abnormalities are more apparent suggesting increasing loculated pleural fluid . More focal opacity in the right lower lung not significantly changed and may reflect either an infectious process or rounded atelectasis when correlated with recent chest CT dated ___ . No pneumothorax .