Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: ET tube is 4 .5 cm above the level of the carina and is in appropriate position . End of NG tube is in proximal stomach . Left IJ tip is in the upper SVC . Mild interval increase in moderate - sized bilateral pleural effusions , left greater than right , and may be partly related to patient positioning . Interval increase in severe pulmonary edema . Mediastinal vein dilatation , mild heart enlargement and engorged pulmonary hila noted . No pneumothorax .
    OUTPUT:
    
1 . Interval increase in severe pulmonary edema . 2 . Mild increase in moderate - sized bilateral pleural effusions , left greater than right .