Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Since the chest radiograph obtained 1 day prior , there has been substantial worsening of bilateral pulmonary vascular congestion and pulmonary edema . There are probably at least small bilateral pleural effusions . Cardiomegaly is grossly unchanged . An ET tube terminates 4 cm above the carina . An enteric tube passes subdiaphragmatically , but terminates outside the field of view . A right IJ central venous catheter terminates at the expected location of the superior cavoatrial junction . All but the superior 2 median sternotomy wires are fractured and malaligned , but unchanged appearance since 1 day prior .
    OUTPUT:
    
Severe bilateral pulmonary edema , substantially worse compared to 1 day prior .