Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Lung volumes are persistently low . Moderate to severe pulmonary edema has changed in distribution , but not in overall severity . Mild cardiomegaly is also stable . Bilateral pleural effusions have increased . No focal consolidation concerning for pneumonia . There are 2 coiled leads around the left ICD pacemaker . There is a presumably orphaned right ventricular ICD lead , with intact continuous right atrium and right ventricle leads . The appearance is unchanged since the radiograph from ___ . Intact median sternotomy wires and mediastinal clips are unchanged .
    OUTPUT:
    
1 . Increased bilateral pleural effusions , with redistribution of the moderate to severe pulmonary edema . 2 . No evidence of pneumonia .