Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The tracheostomy tube is unchanged in standard position , hemodialysis right jugular catheter is unchanged , with tip ending in right atrium . The diffuse non-volume - dependent pulmonary edema is unchanged . Also , minimal improvement of the right base is visible , likely for reduced pleural effusion . Heart size and mediastinal silhouettes are enlarged since yesterday . This finding should be interpreted in light of central venous pressure measurement and ventilation setting , because it might reflecting a worsening of the heart / cardiac function or an increased central venous return .
    OUTPUT:
    
Stable moderate - to - severe non-dependent pulmonary edema , with minimal improvement of the right base ventilation for reduced pleural effusion . Increased heart size and central vein distention should be clinically correlated .