Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The patient is very rotated , this limits the evaluation of the study Cardiac size can not be evaluated . The aorta is tortuous . ET tube is in standard position . NG tube tip is out of view below the diaphragm . Right PICC tip is in the lower SVC . Diffuse increased bilateral opacities are due to increasing large pleural effusions . Adjacent opacities likely atelectasis have increased . Increased opacity in the right upper lobe could be atelectasis or pneumonia . there is at least mild pulmonary edema . There is no pneumothorax .
    OUTPUT:
    
Enlarging bilateral large effusions . Mild pulmonary edema . Consolidation in the right upper lobe could be atelectasis or pneumonia .