Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Semi-portable chest radiograph is provided . A right PICC terminates at the cavoatrial junction . Compared to the prior exam , there has been progression of pulmonary edema , now worse at the lung apices . Moderate bilateral pleural effusions are constant . The heart remains enlarged , although definite borders are difficult to ascertain . Apparent leftward displacement of aortic knob calcifications is likely due to patient rotation as the aorta now projects over the spine . Clips are noted at the left upper quadrant .
    OUTPUT:
    
Progression of pulmonary edema since prior exam . Stable layering moderate bilateral pleural effusions .