Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: A large left pleural effusion has increased since the prior study . There is also a moderate right pleural effusion with possible superimposed consolidation . Persistent moderate pulmonary edema is again noted , as is severe cardiomegaly . The right and left IJ central venous catheters terminate at the cavoatrial junction . Median sternotomy wires , surgical clips , and aortic valve replacement are all unchanged .
    OUTPUT:
    
1 . Large left pleural effusion without pneumothorax . 2 . Moderate pulmonary edema and severe cardiomegaly . 3 . Moderate right pleural effusion with possible superimposed consolidation .