Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Increase of bilateral , now severe , pulmonary edema is seen with left lower lobe volume loss and a left small pleural effusion . The cardiomediastinal silhouette appears stable . There is no pneumothorax .
    OUTPUT:
    
Severe pulmonary edema with left lower lobe volume loss and a small pleural effusion .