Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: A hemodialysis catheter is in place with its tip in the region of the right atrium , new compared with prior . There has been an interval increase in a right pleural effusion . The cardiac silhouette remains markedly enlarged . There is moderate perihilar and bibasilar opacity consistent with moderate pulmonary edema , increased compared with prior .
    OUTPUT:
    
1 . Marked enlargement of the cardiac silhouette , cardiomegaly versus pericardial effusion . There is interval increase in size of right pleural effusion , as well as in perihilar and bibasilar air space opacity compatible with moderate pulmonary edema . 2 . Interval placement of a right IJ hemodialysis catheter , the tip of which is in the region of the right atrium .