Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Portable semi-upright radiograph of the chest demonstrates worsening bilateral heterogeneous airspace opacities concerning for moderate pulmonary edema with superimposed multi - focal pneumonia . There is a small left - sided pleural effusion . The cardiomediastinal and hilar contours are unchanged . Left - sided PICC ends in the mid SVC . No pneumothorax .
    OUTPUT:
    
Worsening bilateral heterogeneous airspace opacities concerning for moderate pulmonary edema with widespread superimposed infection .