Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: AP view of the chest . Compared to prior study , there is a right internal jugular central venous line which ends in the right atrium . The heart is mildly enlarged . There is moderate - to - severe pulmonary edema , which is increased from prior study . Possible small right pleural effusion . Mediastinal prominence like reflects portable AP technique .
    OUTPUT:
    
Moderate - to - severe pulmonary edema , increased from prior study . RIJ CV catheter tip in the right atrium . These findings were discussed with Dr . ___ by Dr . ___ at 3 : 15 p .m . on ___ by telephone .