Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: AP upright and lateral views of the chest were provided . A PICC line is unchanged , again seen terminating in the low SVC . Mediastinal clips are again noted as well as hardware in the cervical spine . There is pulmonary edema which is worsened in the interval with small bilateral pleural effusions . The heart size can not be assessed . There is no pneumothorax . Degenerative changes at the left shoulder with high - riding left humeral head is again noted .
    OUTPUT:
    
Worsening pulmonary edema .