Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: A right internal jugular hemodialysis catheter ends in the right atrium . The size of the cardiac silhouette is at the upper limits of normal . Sternal wires are intact . A moderate right pleural effusion is slightly bigger . There has been slight increase in the pulmonary edema . Opacification at the right base persists and may be a pneumonia . There is no pneumothorax .
    OUTPUT:
    
1 . Increasing pulmonary edema and enlargement of the moderate right pleural effusion . 2 . Possible right lower lobe pneumonia is unchanged .