Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Portable AP upright chest film ___ at 04 : 18 is submitted .
    OUTPUT:
    
Right subclavian PICC line unchanged in position . Status post median sternotomy with stable cardiac and mediastinal contours . Interval worsening of opacities in the right upper and lower lung and in the left mid and lower lung . Although these findings all may reflect worsening moderate to severe pulmonary edema , diffuse pneumonia should also be considered as the opacities are more confluent . Small bilateral layering effusions , left greater than right . No pneumothorax appreciated . Residual contrast is again seen within the known intrathoracic stomach as documented on abdominal CT dated ___ .