Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Comparison is made to previous study from ___ . Again seen is persistent cardiomegaly . There is increased opacification of the lung fields , left side worse than right consistent with worsening pleural effusions . There is pulmonary edema . There is a left - sided PICC line with distal tip in the mid SVC . No pneumothoraces are identified .
    OUTPUT:
    
Cardiomegaly and worsening bilateral pleural effusions , left greater than right as well as pulmonary edema .