Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is been no change in the pulmonary edema pattern with bilateral effusions and cardiomegaly since prior examination . The heart is enlarged The Swan - Ganz catheter has been advanced and now terminates in the right main pulmonary artery .
    OUTPUT:
    
Continued cardiomegaly and pulmonary edema . The Swan - Ganz catheter has been advanced now is in appropriate position .