Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Overall progression of findings compared to the prior exam . Increase in size of the known right pleural effusion , now large - to - moderate . New increased opacity in the left lingula and lower lung with a small left pleural effusion . It is unclear if right - sided lower lung opacities are also present given the concurrent right pleural effusion . Increased bilateral pulmonary vascular congestion and interstitial pulmonary edema . The right Pleur - ex catheter lies within the right hemithorax , although the precise location of tip can not be ascertained . No pneumothorax . Probable cardiomegaly , although the heart borders are obscured by the overlying pleural effusions . The port - A - Cath appears unchanged in position and intact .
    OUTPUT:
    
1 . Progression of the known right pleural effusion , now large - to - moderate , and a new small left pleural effusion . 2 . New , more prominent opacities in the left lingula and lower lung , which may be secondary to pulmonary edema . However , some more unilateral appearance raises the possibility of superimposed consolidation . 3 . Interval resolution of the right pneumothorax . 4 . Pulmonary edema .