Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Portable supine chest radiograph was obtained . Endotracheal tube terminates in mid trachea . Right internal jugular transvenous pacing wire is looped in the right pulmonary artery can be withdrawn approximately 16 cm for more optimal positioning within the right ventricle . Diffuse haze over the right hemithorax likely reflects layering pleural effusion . Increased pulmonary vascular congestion is also seen without focal consolidation . The heart is modestly enlarged with normal mediastinal contours . There is no pneumothorax . At least 1 right rib fracture is suggested .
    OUTPUT:
    
1 . Venous pacing lead projects over the main pulmonary artery and could be withdrawn approximately 16 cm . 2 . Likely layering right pleural effusion without pneumothorax . Mild pulmonary vascular congestion . 3 . At least 1 right - sided rib fracture .