Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Tracheostomy tube tip is in unchanged position . Right PICC tip terminates in the mid SVC . Cardiac silhouette size remains moderate to severely enlarged . Mediastinal contour remains widened , and this is due to underlying mediastinal lipomatosis as seen on the prior CT . Moderate pulmonary edema appears worse compared to the previous exam with layering bilateral pleural effusions again noted . More focal opacities in the lung bases likely reflect areas of atelectasis though infection is not excluded . No large pneumothorax is identified .
    OUTPUT:
    
1 . Worsening moderate pulmonary edema with continued layering bilateral pleural effusions . Increased bibasilar opacities likely reflect worsening atelectasis though infection is not excluded . 2 . Tracheostomy tube tip in unchanged position .