Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: A feeding tube remains in place , the tip is not seen . A left IJ central venous catheter remains in place with its tip in the upper SVC . A left subclavian approach central venous catheter has been removed in the interim . Bilateral pleural effusions are unchanged . There is no pneumothorax . Mild pulmonary edema is not significantly changed . The cardiac silhouette and mediastinal contours are unchanged , with cardiomegaly obscured by large effusion .
    OUTPUT:
    
Moderate bilateral pleural effusions and mild pulmonary edema are not significantly changed .