Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is worsening pulmonary edema and pleural effusion . Cardiac silhouette is stable and top normal in size . Lung volumes are stable and within normal limits . There is dense opacity in the left lower lung most likely representing atelectasis . Right - sided PICC catheter terminates within the mid SVC . Nasogastric tube is in unchanged position , entering the stomach and then out of field of view .
    OUTPUT:
    
Worsening pulmonary edema and pleural effusion with stable cardiac silhouette .