Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The tip of the Swan - Ganz catheter is in unchanged position . A left IJ central venous catheter terminates at the superior SVC . The tip of the ET tube is in appropriate position terminating 4 .9 cm above the carina . The course of the nasogastric tube can not be fully assessed due to scatter radiation . The cardiomediastinal silhouette remains enlarged . There is bibasilar atelectasis and pleural effusions , increased on the right . There is persistent mild vascular congestion . No pneumothorax is seen .
    OUTPUT:
    
1 . Interval increase in right pleural effusion . 2 . Unchanged enlarged cardiomediastinal silhouette . 3 . Unchanged mild pulmonary vascular congestion .