Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Large loculated bilateral pleural effusions are similar as before . Moderate pulmonary edema is increased than 11 hr prior . Cardiomediastinal silhouette is obscured by large pleural effusions . A transesophageal tube terminates near GE junction . Right internal jugular venous catheter terminates in mid SVC . Prosthetic aortic and mitral valves are noted . Sternotomy wires are intact .
    OUTPUT:
    
1 . Large loculated bilateral pleural effusions are similar 11 hr prior . Compared to ___ , bilateral pleural effusions are increased . 2 . Moderate pulmonary edema is increased . 2 . A transesophageal tube terminates near GE junction . Consider advancing by 6 cm .