Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is increase in the size of the cardiac silhouette , the this may be due to positioning of the patient . There are bilateral pleural effusions with pulmonary vascular congestion . There is no pneumothorax . At the level of the cervicothoracic junction , there is no evidence of an endotracheal tube .
    OUTPUT:
    
bilateral pleural effusions with pulmonary edema and increased cardiac silhouette which may be in part due to positioning . No evidence of ET tube at the level of the cervicothoracic junction .