Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Patient has had a history of recurrent episodes of pulmonary edema ; today it is worse . There has been interval increase in cardiomegaly and pulmonary edema . Bilateral pleural effusion is seen . Lung volumes are stably low . Right - sided PICC catheter is seen terminating in the low SVC . There is no pneumothorax .
    OUTPUT:
    
Interval worsening of pulmonary edema and cardiomegaly .