Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Portable single frontal chest radiograph was obtained . A left PICC line terminates in the cavoatrial junction . The heart size remains enlarged with moderate pulmonary edema . Bilateral pleural effusions , right greater than left , are unchanged from prior study . There is no penumothorax .
    OUTPUT:
    
Persistent cardiomegaly with moderate pulmonary edema and bilateral pleural effusions .