Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Bedside AP radiograph of the chest demonstrates an interval increase in the small right and moderate left pleural effusions with superimposed progression of pulmonary edema . There is stable collapse of the left lower lobe . The heart is stably enlarged . The right pulmonary artery is now even larger than at baseline , suggesting further decompensation of left heart failure . The pneumomediastinum is also enlarged , likely resulting from a combination of lymphadenopathy and vascular engorgement . There is no pneumothorax . A biventricular pacer is once again seen , with leads in unchanged and appropriate position . A left internal jugular catheter terminates in the mid SVC . Intact sternal cerclage wires , as well as mediastinal surgical clips are redemonstrated . Surgical clips in the upper abdomen are also noted .
    OUTPUT:
    
Worsening decompensated congestive heart failure .