Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is persistent pulmonary vascular congestion , bilateral pleural effusions , and bibasilar opacities with worsening interstitial edema . Heart size is normal . Cervical fixation hardware remains in place . There is no pneumothorax . A percutaneous cholecystostomy tube and biliary drainage tube project over the right upper quadrant .
    OUTPUT:
    
Worsening interstitial edema with persistent pulmonary vascular congestion , bilateral effusions , and bibasilar opacities .