Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Compared with the prior study , the ET tube and NG tube have been removed . Right IJ sheath is now present instead of the Swan - Ganz catheter . The cardiomediastinal silhouette is enlarged , possibly slightly more prominent . Sternotomy wires are noted . As before , the upper most sternotomy wire is interrupted . The patient 's T AVR is noted . Diffuse opacities , right - greater - than - left are again visible . These are probably similar to prior . There is slightly increased prominence on the left , which may be accounted for by differences in technique . These are non-specific , but as previously described , compatible with pulmonary edema . In the appropriate clinical setting , the differential could include pneumonic infiltrates . No gross effusion is detected on either side .
    OUTPUT:
    
Interval removal of ET and NG tube and exchange to a right IJ sheath . Possible interval increase in cardiac silhouette . T AVR noted . Interrupted sternal wire again noted . Diffuse opacities , more pronounced on the right , similar to prior . In the appropriate clinical setting this could represent asymmetric pulmonary edema or pulmonary infiltrates . No gross effusions detected .