Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: AP upright and lateral views of the chest provided . Port - A - Cath resides over the left chest wall with catheter extending into the region of the SVC . There is severe pulmonary edema increased from prior exam . Small layering pleural effusions are present . There is no pneumothorax . Difficult to exclude a superimposed pneumonia . Bony structures appear intact .
    OUTPUT:
    
Severe pulmonary edema . Small bilateral pleural effusions .