Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Heart size is enlarged . The mediastinal and hilar contours are normal . The pulmonary vasculature is normal . Allowing for differences in patient positioning , there is an enlarging right pleural effusion . The lung volumes are low . Bilateral opacities and pulmonary vascular engorgement is consistent with worsening pulmonary edema . No pneumothorax is seen .
    OUTPUT:
    
1 . Enlarging right pleural effusion . 2 . Worsening pulmonary edema .