Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is extensive bilateral pulmonary edema with alveolar opacification and cardiomegaly . There is a small quantity of pleural effusion bilaterally . There is no pneumothorax . A right - sided IJ line is seen appropriately positioned within the mid SVC . Endotracheal tube is seen terminating 6 cm from the carina . NG tube is appropriately positioned , entering the stomach and terminates out of view .
    OUTPUT:
    
Extensive bilateral pulmonary edema , most likely cardiogenic in nature .