IMPRESSION:
ET tube tip is 5 cm above the carinal.  Swan-Ganz catheter tip is at the right
 ventricle outflow tract.  Right internal jugular line tip is at the level of
 superior SVC.  LVED appears to be in expected unremarkable position.
 
 Pacemaker defibrillator terminates in the right ventricle.
 
 The patient continues to be in pulmonary edema.  There is no interval
 development of pneumothorax or increase in pleural effusion.