Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is marker worsening of a large left pleural effusion with complete opacification of the left hemithorax . There is continued central pulmonary vascular congestion with mild pulmonary edema . Severe degenerative changes throughout the glenoid normal joints are again seen . A right humeral rod is incompletely visualized .
    OUTPUT:
    
1 . Markedly worsened large left pleural effusion . 2 . Pulmonary vascular congestion with mild pulmonary edema .