Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The right chest central line is again seen with distal tip projecting over the right atrium . Tracheostomy tube remains in place . An enteric tube courses inferiorly , with distal tip projecting below the lower limit of the radiograph . Multiple median sternotomy wires are again identified . Right PICC line is in stable position , with distal tip projecting over the mid-low SVC . The cardiomediastinal silhouette is stable , consistent with mild to moderate cardiomegaly . The bilateral hila are unremarkable . Bilateral diffuse airspace opacities likely represent pulmonary edema which is worsened in comparison to prior exam ; however , a more confluent opacity within the left mid-lung raises the possibility of superimposed pneumonia . Moderate bilateral pleural effusions and a focal area of right - sided pleural margin thickening are generally unchanged . There is no pneumothorax .
    OUTPUT:
    
1 . Interval worsening of at least moderate pulmonary edema . Confluent opacity within the left mid lung raises the possibility of superimposed infection . 2 . Stable moderate bilateral pleural effusions .