Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Severe cardiomegaly is unchanged . Left lower lobe collapse is chronic . Moderate to severe pulmonary edema and moderate pleural effusion , both worsened on the left . There is no pneumothorax . Tracheostomy tube is midline . Right PICC line terminates in lower SVC . Midline external defibrillator and LVAD unchanged in their positions .
    OUTPUT:
    
Moderate to severe pulmonary edema moderate left pleural effusion both worsened slightly .