Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Endotracheal tube terminates 4 .5 cm above the carina . Nasogastric tube passes into the stomach . There is a right IJ central line as well as a left subclavian central line , both of which extend to the mid SVC . There is no pneumothorax . There are bilateral pleural effusions , larger on the right . This likely accounts for worsened basilar opacities . Additional ill - defined perihilar opacities are suggestive of slight progressive worsening of pulmonary edema . Heart size is progressively enlarged compared to prior studies . Retrocardiac opacity at the left base is most compatible with significant volume loss .
    OUTPUT:
    
Continued progressive worsening of volume status , with increased cardiomegaly , bilateral effusions and pulmonary edema . Dense retrocardiac opacity most likely reflects volume loss .