Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Swan - Ganz catheter is again seen terminating in the right upper lobe pulmonary artery in non standard placement . Left transvenous pectoral pacer defibrillator device lead projects over the right ventricle terminating midline closer to the tricuspid valve . The heart is severely enlarged , unchanged compared to prior study from ___ . The mediastinal silhouette is unremarkable . There is no focal consolidation or pulmonary edema . There is no pneumothorax or pleural effusion .
    OUTPUT:
    
1 . Swan - Ganz type catheter terminates in right upper lobe pulmonary artery , nonstandard placement . 2 . Left pacer device lead projects over the right ventricle terminating midline closer to the tricuspid valve .