Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Worsening of the bilateral widespread alveolar opacities with thickening of the right minor fissure and progressive bilateral pleural effusion with bibasilar atelectasis . This is mostly compatible with severe pulmonary edema . A tracheostomy is in adequate position . The right - sided PICC line is unchanged and ends in the mid-superior vena cava . There is no pneumothorax . There is a gastrostomy . The mediastinal and cardiac contour are unchanged .
    OUTPUT:
    
There is worsening of the now severe pulmonary edema .