Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The heart continues to be enlarged , and a left cardiac device has its leads terminating in appropriate position . There is moderate edema with associated right layering profusion . An endotracheal tube terminates in appropriate position , and the nasogastric tube terminates below the view of this radiograph .
    OUTPUT:
    
Continued moderate pulmonary edema with layering right pleural effusion .