Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Severe pulmonary edema is unchanged with slightly increased cardiomediastinal silhouette . Internal jugular catheter now terminates appropriately within the upper SVC . There is no pneumothorax . Small bilateral pleural effusions are noted .
    OUTPUT:
    
Slightly worsening pulmonary edema with increase in cardiomegaly consistent with severe volume overload . Hemodialysis would not be contraindicated given these findings .