Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lung volumes are low . There is worsening bilateral pulmonary edema . Large right pleural effusion is unchanged . There is cardiomegaly . Right - sided PICC terminates in the right atrium . Visualized bones are unremarkable .
    OUTPUT:
    
Low lung volumes with worsening pulmonary edema and unchanged large right pleural effusion with cardiomegaly .