Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is bilateral parahilar airspace opacification in a typical batwing distribution with associated bilateral pleural effusions ( right larger than left ) . Transverse cardiomegaly . Right - sided IJV CVP in situ and with the tip 2 cm distal to the cavoatrial junction . The previously noted pulmonary airspace consolidation / nodule on CT in the left upper lobe is not clearly visualized on this study . Spondylotic changes of the thoracic spine .
    OUTPUT:
    
Pulmonary edema with pleural effusions which shows a waxing and waning course , but has progressed compared to prior image ___ .