Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: A right internal jugular approach central venous catheter is present with tip terminating in the right atrium . An ETT is present with tip terminating in standard position approximately 4 .7 cm above the carina at the level of the mid clavicular heads . The cardiac silhouette is moderately to severely enlarged . Apparent widening of the mediastinum is due to known pericardial effusion as well as mediastinal lymphadenopathy . Bilateral effusions are moderate . There is no pneumothorax . There is complete left lower lobe collapse with right lower lobe atelectasis . Mild pulmonary edema is present . The upper abdomen is unremarkable in appearance .
    OUTPUT:
    
1 . No significant interval change since the recent chest CT with moderate bilateral pleural effusions with mild edema , left lower lobe collapse , and right lower lobe atelectasis . 2 . Enlargement of the cardiac silhouette due to moderate to severe cardiomegaly with pericardial effusion . The ventricular pseudoaneurysm was documented on the recent chest CT . 3 . Mediastinal adenopathy .