Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: A left - sided central venous catheter is seen terminating in the region of the right atrium . There are bilateral pleural effusions with moderate - to - severe pulmonary edema , which have significantly worsened since the prior study . Underlying consolidation is difficult to exclude , particularly in the right perihilar region . The cardiac silhouette remains mildly enlarged . The aorta is calcified and tortuous . The patient is status post median sternotomy with the superior most sternal wire again seen to be fractured . The previously seen right - sided PICC is no longer seen .
    OUTPUT:
    
Bilateral pleural effusions , pulmonary edema and mild cardiac enlargement suggests CHF , worsened since prior .