Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Previous Swan - Ganz catheter has been removed . Right ICD has appropriate single lead placement . New left LVAD device has been placed without pneumothorax . Severe cardiomegaly continues without overt pulmonary edema . The lateral view shows a loculated posterior left mild pleural effusion and adjacent atelectasis . The lungs are otherwise clear . The mediastinal and hilar contours are normal .
    OUTPUT:
    
LVAD placement with unchanged severe cardiomegaly . Small loculated left posterion pleural effusion and adjacent atelectasis , chronicity with respect to LVAD implantation unknown . Findings were relayed to Dr . ___ 5 minutes following review by Dr . ___ on ___ at 9 :00 by telephone .