Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There has been interval extubation and removal of right - sided central line . Right PICC terminates in the SVC . There are bilateral pleural effusions right greater than left , new compared to the prior radiograph . Lung volumes are low . Prosthetic aortic valve and sternotomy sutures are unchanged . EKG leads overlie the patient . Bony thorax unchanged .
    OUTPUT:
    
Worsening bilateral pleural effusions right greater than left with stable cardiomegaly . Lines and tubes as above .