IMPRESSION:
Right transjugular Swan-Ganz catheter ends in the proximal left pulmonary
 artery.  Patient has been extubated, mild cardiomegaly has developed, small
 bilateral pleural effusion has increased, and mild edema has developed in the
 right lower lobe. Subcutaneous emphysema in the right chest wall is new
 following removal of the right pleural drain, but there is no pneumothorax. 
 Right jugular introducer ends at the origin of the SVC.