Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: A right IJ pacer line is seen with its tip projecting over the right ventricle . The femoral side Swan - Ganz catheter tip is seen coiled in the left pulmonary outflow tract . there is a moderate right pleural effusion which has increased compared to the study from earlier the same day . There are two right lateral rib fractures minimally displaced . pulmonary vascular redistribution and moderate cardiomegaly and small left effusion and retrocardiac opacity have increased . there is no pneumothorax . The ET tube is 2 .5 cm above the carina .
    OUTPUT:
    
right effusion compatible with increased fluid overload . pacer line in expected location .