Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The heart size is moderately enlarged with worsening pulmonary edema and moderate venous engorgement that appears to have progressed . A large right pleural effusion has a decreased fluid component that has been replaced with air . There is a mild rightward mediastinal shift secondary to right lung volume loss . A feeding tube is seen which terminates in the upper stomach .
    OUTPUT:
    
1 . Moderately enlarged heart with worsening pulmonary edema and increased moderate venous engorgement . 2 . Large right pleural effusion with decreased fluid and increased air components .