Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The tip of the right internal jugular central venous catheter extends to the lower SVC . There is persisting moderate to severe pulmonary edema . A right pleural effusion is present . No pneumothorax identified . The size of the cardiac silhouette is enlarged but unchanged .
    OUTPUT:
    
Persisting moderate to severe pulmonary edema as well as a small right pleural effusion .