Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The right - sided PICC line tip terminates at the lower SVC . There is enlargement of the cardiac silhouette with pulmonary edema . There is obscuration of the diaphragmatic contours , consistent with bilateral pleural effusions and there is compressive atelectasis at the lung bases . There is no pneumothorax .
    OUTPUT:
    
Cardiomegaly with pulmonary edema and bilateral pleural effusions .