Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Cardiomediastinal contours are unchanged . Mild to moderate pulmonary edema is mildly increased . Moderate bilateral effusions have increased on the left . Left lower lobe consolidation has increased . There is no pneumothorax . The osseous structures are unremarkable . Right PICC tip is in the cavoatrial junction
    OUTPUT:
    
Increase left lower lobe consolidation , mild to moderate pulmonary edema and bilateral effusions