Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Right - sided PICC is grossly similar in position . Midline tracheostomy tube is again seen . Cardiac and mediastinal silhouettes are stable . Continued worsening of pulmonary edema is seen . There are bilateral , left greater than right , pleural effusions , re- demonstrated .
    OUTPUT:
    
Worsening pulmonary edema . Bilateral pleural effusions , grossly stable .