Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: A right - sided central venous line is noted with the tip terminating in the lower right atrium / superior IVC . A ventriculoperitoneal shunt is noted coursing along the right side of the body . Lung volumes are low . There are moderate - large bilateral pleural effusions with adjacent atelectasis . The upper lungs are grossly clear . The cardiac silhouette is difficult to evaluate given the patient body habitus and pleural fluid , but there appears to be a least moderate cardiomegaly with central pulmonary vascular congestion .
    OUTPUT:
    
Low lung volumes . Bilateral , moderate - large pleural effusions , moderate central vascular congestion , and cardiomegaly - likely reflects underlying pulmonary edema .