Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: One supine portable AP view of the chest . The mediastinal widening is stable compared to study done five hours earlier . The pulmonary edema has increased further compared to five hours earlier . Pneumopericardium has decreased . Assessment of pleural effusions are difficult on a supine film and in the setting of marked pulmonary edema . The right tracheal deviation is stable . Swan - Ganz catheter ends in the region of the proximal main pulmonary artery . Two mediastinal drains are seen . Esophageal catheter tip is obscured on these films . Endotracheal tube is 5 cm above carina . Pacing leads are again noted . Sternal wires , mediastinal clips , and clips projecting over the right shoulder are noted .
    OUTPUT:
    
1 . Increased pulmonary edema compared with study five hours earlier . 2 . Mediastinal widening is stable . These findings were discussed with ___ at 9 :45 a .m . on ___ by telephone .