Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Frontal lateral views chest performed . A left upper extremity PICC has been removed . The cardiac silhouette remains chronically and moderately enlarged . There are small to moderate bilateral pleural effusions which have increased in size from prior . Additionally , enlargement of the azygous vein with indistinctness of the pulmonary vasculature is consistent with congestive failure . More focal appearing consolidations are seen in the middle lobe and a lower lobe , probably left . There is no pneumothorax . The imaged upper abdomen is unremarkable .
    OUTPUT:
    
1 . Moderate pulmonary edema with small to moderate bilateral pleural effusions . 2 . Opacities within one of the lower lobes , probably the left , and in the middle lobe could represent more focal consolidations . Either repeating the study after diuresis or obtaining oblique views would be helpful in clarification . These findings were discussed with Dr . ___ by Dr . ___ at 08 :37 AM on ___ .