Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is an orogastric tube . The radiopaque tip extends beneath the diaphragm and partially off the film . It overlies expected site of the gastric fundus , similar to ___ . It has not passed beyond the pylorus . Right sided catheter overlies the right atrium . Left - sided catheter overlies did distal SVC near the SVC / RA junction . No pneumothorax is detected . Again seen is the right - sided pigtail catheter at the right lung base medially . There is probable atelectasis and mild vascular plethora in the right lung , similar to the prior study . No obvious pneumothorax is identified . No gross effusion . Radiopaque structure again seen overlying the lower right chest wall . Again seen is cardiomegaly with dense increased retrocardiac opacity and obscuration left hemidiaphragm , similar to the prior film . Mild vascular plethora seen in the left upper lung . Possibility of a small left pleural effusion can not be excluded .
    OUTPUT:
    
No definite change compared to ___ . Right pigtail catheter present . No gross right - sided effusion identified . Other lines and tubes , as described . Dense increased retrocardiac opacity is unchanged . Diffuse vascular plethora , compatible with mild CHF , similar to the prior study . No obvious pneumothorax identified .