Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There are large worsening bilateral pleural effusions with associated atelectasis . There is also mild pulmonary edema . Trach tube is in good position with tip 3 cm above the carina . Upper alimentary tube is seen , post pylorus . Right PICC tip is not well visualized past the brachiocephalic vein .
    OUTPUT:
    
1 . Worsening bilateral pleural effusions and atelectasis .