FINDINGS:
The right IJ approach Swan-Ganz catheter tip ends within the mediastinal
 contours in the right pulmonary artery, appropriately positioned.  Otherwise,
 no significant interval change.  Moderate to severe cardiomegaly persists and
 is overall unchanged.  Mild pulmonary vascular congestion is overall
 unchanged.  No frank pulmonary edema.  Lung volumes remain slightly low,
 overall unchanged.  No focal consolidation, pleural effusion, or pneumothorax.
 The cardiac pacemaker defibrillator device appears intact and unchanged in
 position.

IMPRESSION:
No significant interval change.  Swan-Ganz catheter ends in right pulmonary
 artery.