Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Portable AP upright chest radiograph was obtained . The right internal jugular central venous catheter terminates in the right atrium as on the previous examination . The nasointestinal feeding tube courses into the proximal duodenum and out of view . The lung volumes are low with increased bilateral moderate - to - severe pulmonary edema and accompanying moderate pleural effusions . Dense bibasilar atelectasis is also noted with unchanged large but obscured cardiac silhouette . Sternotomy wires appear intact without pneumothorax .
    OUTPUT:
    
Increased moderate - to - severe pulmonary edema and moderate - sized bilateral pleural effusions .