Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs are moderately well inflated with persistent pulmonary edema and a large layering right pleural effusion . Bibasilar opacities compatible with bibasilar atelectasis versus consolidation . Cardiomegaly as before . Left - sided Port - A - Cath has been accessed and terminates at the cavoatrial junction , an intra-aortic balloon pump is noted with tip terminating 1 .6 cm below the aortic groove , EKG leads overlie the chest wall . Multilevel degenerative changes of the thoracic spine noted .
    OUTPUT:
    
1 . Large layering right pleural effusion with bibasilar atelectasis versus consolidation and moderate pulmonary edema . 2 . Lines and tubes as above .