Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: ET tube terminate 7 .1 cm above the carina and can be advanced 2 cm for secure positioning . Right IJ Swan - Ganz catheter with tip in right pulmonary outflow tract . Stable severe cardiomegaly , unchanged since ___ and mediastinal widening unchanged since chest radiograph performed earlier on the same day and increased since ___ . Increased vascular congestion bilaterally on verge of pulmonary edema . There is no pneumothorax or pleural effusion .
    OUTPUT:
    
Right IJ Swan - Ganz catheter with tip in the outflow tract . ETT 7 .1 cm above the carina , can advance 2 cm for more secure positioning . Increased vascular congestion bilaterally , patient on first of pulmonary edema .