Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: As compared to prior chest radiograph from ___ , there has been interval worsening of the opacifications at the lower lung bases bilaterally , compatible with pleural effusions . There is pulmonary vascular congestion and edema which remains unchanged . There is no pneumothorax . Cardiomediastinal silhouette is enlarged but unchanged . An endotracheal tube is in place with tip terminating 2 .5 cm above the carina . Nasogastric tube is again seen coursing below the diaphragm and out of view of this image .
    OUTPUT:
    
Interval worsening of bilateral pleural effusions with pulmonary edema .