Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Comparison to ___ . The monitoring and support devices are in stable position , in the left IJ at the level of the brachiocephalic vein . Minimal increase in extent of pre-existing lateral pleural effusions . The signs of pulmonary edema are constant . Moderate cardiomegaly persists .
    OUTPUT:
    
No substantial change .