Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The endotracheal tube terminates 4 .9 cm above the carina . The right IJ central venous catheter is near the cavoatrial junction . There is interval enlargement of the cardiac silhouette . Perihilar and interstitial opacities have also increased with increased airspace opacification of the lower lobes . Small bilateral pleural effusions are likely present . No pneumothorax .
    OUTPUT:
    
Enlargement of the cardiac silhouette and diffusely increased interstitial and bibasilar airspace opacities are consistent with worsening mild - to - moderate pulmonary edema .