Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: An endotracheal tube is in place , positioned 3 .5 cm from the level of the carina . A right upper extremity PICC tip is seen in the lower SVC . A nasogastric tube tip and sidehole project over the expected location of the stomach . There is moderate - to - severe pulmonary edema , which is not significantly changed , and are small bilateral pleural effusions . The cardiac silhouette remains moderately enlarged . No pneumothorax .
    OUTPUT:
    
Unchanged moderate - to - severe pulmonary edema , with small bilateral pleural effusions and moderate cardiomegaly .