Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Right jugular catheter has been removed . Lung volume is still low , but without evidence of consolidation or nodule . Heart size has enlarged since ___ . This enlargment might be due to increase pericardial effusion or cardiomyopathy . New mild vascular congestion can be related to reduced cardiac function . There is no pneumothorax or pleural effusion .
    OUTPUT:
    
New moderate - to - severe cardiomegaly can be compatible with new pericardial effusion or cardiomyopathy . Mild vascular congestion . No sign of acute pulmonary process .