Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral views of the chest provided . Left IJ access Port - A - Cath is unchanged in position with tip in the cavoatrial junction . There is worsening pulmonary edema , now moderate in overall severity with small bilateral pleural effusions increased in the interval . Cardiomediastinal silhouette is unchanged . No pneumothorax . Clips in the upper abdomen noted .
    OUTPUT:
    
Worsening pulmonary edema , now moderate with small bilateral effusions also increased in the interval .