Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Endotracheal tube tip terminates approximately 7 cm from the carina . The heart size is mild to moderately enlarged . Perihilar haziness with vascular indistinctness is compatible with moderate - to - severe pulmonary edema . Small bilateral pleural effusions are noted . No pneumothorax is identified . Right PICC tip terminates in the junction of the SVC and right atrium . No acute osseous abnormality is detected .
    OUTPUT:
    
Moderate - to - severe pulmonary edema with small bilateral pleural effusions .