Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Frontal and lateral views of the chest demonstrate moderate bilateral pleural effusions , left greater than right . Bilateral vascular congestion and perihilar edema has increased . The heart remains enlarged . A left - sided dual lead pacer is unchanged in position . There is no pneumothorax .
    OUTPUT:
    
1 . Moderate bilateral pleural effusions , left greater than right . 2 . Worsening vascular congestion and perihilar pulmonary edema .