Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There has been an increase in the bilateral pulmonary edema status post extubation as evidenced by increased dense opacification , which is now nearly confluent consistent with severe pulmonary edema . The cardiomediastinal silhouette is difficult to evaluate given intervening pulmonary edema opacity , however appears unchanged . There is no pneumothorax . There has been complete obscuration of the costophrenic angles suggestive of bilateral pleural effusions . Right IJ catheter is unchanged in position and ends in the upper SVC . Sternotomy wires are unchanged in position , aligned along the midline with no evidence of sternal dehiscence .
    OUTPUT:
    
Worsening , now severe , bilateral pulmonary edema . Supervening pneumonia can certainly not be excluded in the appropriate clinical setting . Interval removal of endotracheal tube . Cardiomediastinal silhouette stable .