Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is mild vascular engorgement without overt signs of pulmonary edema . The cardiac silhouette is enlarged but unchanged from prior . A left - sided ICD and pacer is seen with leads ending in the right atrium , coronary sinus and right ventricle . A right - sided IJ catheter tip terminates in the mid to distal SVC . There is no pleural effusion or pneumothorax . There is no consolidation .
    OUTPUT:
    
1 ) Right - sided internal jugular central venous line terminating at the mid to distal SVC without evidence of pneumothorax . 2 ) Cardiomegaly .