Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: A right IJ central venous catheter ends in the lower SVC . Dual lead left - sided cardiac AICD in place . A right midline catheter is partially imaged . Small bilateral layering pleural effusions have increased . Increased bilateral interstitial opacities are likely due to pulmonary edema . Moderate cardiomegaly appears slightly increased . Tubular opacities projecting over the left heart may be due to coronary calcifications or stents . There is no pneumothorax .
    OUTPUT:
    
New pulmonary edema likely secondary to cardiac decompensation . Increased small bilateral layering pleural effusions .