Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There has been interval removal of the intra-aortic balloon pump . The Swan - Ganz catheter has been pulled back and currently resides in the region of the tricuspid valve . The NG tube resides in the stomach . The ET tube is appropriately positioned 2 cm above the carina . Moderate cardiomegaly and pulmonary vascular congestion persists . Mediastinal widening is secondary to right - sided heart failure . Pleural effusions persist . There is no pneumothorax .
    OUTPUT:
    
1 . The intra-aortic balloon pump has been removed . 2 . Swan - Ganz catheter , NG tube , and ET tube are in appropriate position . 3 . Moderate cardiomegaly and pulmonary vascular congestion persist . 4 . Mediastinal widening is probably secondary to right - sided heart failure .