Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The right internal jugular central venous catheter tip terminates in the proximal right atrium . No pneumothorax . Remainder of the chest is unchanged with severe enlargement of the cardiac silhouette . Persistent right upper lung field focal opacity is concerning for pneumonia . Mild pulmonary edema is also again seen . There are small bilateral pleural effusions . Pacing leads are in unchanged positions .
    OUTPUT:
    
Right internal jugular central venous catheter tip in the proximal right atrium . No pneumothorax .