Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The heart is mildly enlarged . There is worsening of bilateral pleural effusions as well as central vascular congestion . Moderate pulmonary edema is again seen . There is no large pneumothorax . The apices are obscured by the patient 's head .
    OUTPUT:
    
Worsening bilateral pleural effusions with unchanged moderate edema . Superimposed consolidation , particularly at the bases , can not be excluded .