Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Left - sided PICC is again seen , terminating in the mid SVC . The cardiac silhouette remains moderate to severely enlarged . Bibasilar opacities have increased in there is now a blunting of the costophrenic angles . Findings are consistent with small to moderate bilateral pleural effusions with overlying atelectasis , underlying consolidation due to pneumonia is not excluded . There is moderate pulmonary edema . No pneumothorax .
    OUTPUT:
    
Bilateral pleural effusions , pulmonary edema , and marked enlargement of the cardiac silhouette suggest CHF , however underlying consolidation due to pneumonia at the lung bases not excluded in the appropriate clinical setting .