Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There has been some interval decrease in the right - sided pleural effusion however there continues to be moderate to severe cardiomegaly , vascular congestion , lower lobe volume loss / infiltrate , and bilateral small pleural effusions . There is a large bore right - sided central line with interval removal of the left central line and a left IJ line
    OUTPUT:
    
Continued pulmonary edema with some decrease in the right pleural effusion ___ , MD