Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs are hypoinflated with crowding of vasculature . There is progression of severe vascular engorgement with peribronchial cuffing as well as bilateral perihilar opacities with interval increase in small left pleural effusion . No right pleural effusion . No pneumothorax . Moderate cardiomegaly is stable . A right PICC tip is seen at least up to the low SVC .
    OUTPUT:
    
1 . Moderate pulmonary edema with stable moderate cardiomegaly and increased small left pleural effusion . 2 . In order to exclude pneumonia a repeat PA and lateral chest radiograph once the edema has resolved should be considered as current underlying parenchymal disease limits evaluation . 3 . A right PICC tip is seen at least up to the low SVC .