Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is stable enlargement of the cardiac silhouette . There is increased pulmonary edema , now severe with increased bilateral pleural effusions . Lung volumes are low with bibasilar opacities likely a combination of effusion and atelectasis , though superimposed infection is possible . A left subclavian dialysis catheter is in unchanged position ending in the right atrium .
    OUTPUT:
    
Increased severe pulmonary edema and bilateral pleural effusions .