Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Single frontal portable view of the chest . Endotracheal tube terminates 4 .2 cm above the carina . The side port of a nasogastric tube is below the diaphragm . Pulmonary vasculature is ill - defined , compatible with severe pulmonary edema . Hazy opacity overlying both lungs and blunting of the costophrenic angles are compatible with bilateral pleural effusions . No lobar consolidation or pneumothorax . Mild cardiomegaly is similar to prior . Leads of a left chest wall pacer terminates in the right atrium and ventricle . Median sternotomy wires and numerous mediastinal clips are intact .
    OUTPUT:
    
Severe pulmonary edema with bilateral pleural effusions .