Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Status post prior median sternotomy . Interval removal of the endotracheal and gastric tubes . The tip of the right internal jugular central venous catheter projects over the cavoatrial junction . There are increasing bilateral layering pleural effusions with subjacent atelectasis . Moderate pulmonary edema is present as well . No pneumothorax identified . The size of the cardiomediastinal silhouette is enlarged but unchanged .
    OUTPUT:
    
Moderate pulmonary edema with bilateral layering pleural effusions and enlargement of the cardiomediastinal silhouette , consistent with congestive heart failure .