Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There has been interval improvement of the large left pleural effusion and bilateral pulmonary edema . The small right pleural effusion is stable . Again , the cardiac silhouette is enlarged , however , obscured by the left pleural effusion . The tracheostomy tube is in place . The left PIC line terminates in the mid SVC . There is no pneumothorax . The right displaced shoulder fracture is unchanged .
    OUTPUT:
    
Overall interval improvement of the large left pleural effusion and bilateral pulmonary edema . These findings were discussed with Dr . ___ at 10 :05 a .m . by Dr . ___ ___ by telephone on the day of the exam .