Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Lung volumes remain low . Severe cardiomegaly is re - demonstrated . The large left pleural is larger , layering along the left lateral chest wall . The moderate right pleural effusion is minimally increased . Bibasilar atelectasis is worse . Mild pulmonary congestion is not appreciably changed . A new right PICC line terminates in the mid SVC . A left pacer lead terminates in the right ventricle . There is no pneumothorax .
    OUTPUT:
    
1 . Large left pleural effusion is increased , and moderate right pleural effusion is minimally increased . 2 . Bibasilar atelectasis is worse and mild pulmonary edema is unchanged .