Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: ET tube had been pulled back and is now 2 .7 cm above carina . Right - sided PICC line and new right subclavian line ends in the lower dilated superior vena cava . NG tube is in the stomach . Mild pulmonary congestion has completely resolved and small bilateral pleural effusions have improved . Severe cardiomegaly in this patient with prior sternotomy and mitral valve repair is most explained by dilation of both atrium .
    OUTPUT:
    
1 . Tubes and lines are in adequate position including the NG tube . 2 . Severe cardiomegaly is stable without sign of pulmonary edema . 3 . Small pleural effusion has improved .