Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Moderately severe pulmonary edema , large left and moderate - to - large right pleural effusions , enlarged heart and enlarged hila from prominant pulmonary arteries are unchanged appearance since ___ . Endotracheal tube terminates 4 .5 cm above the carina and is appropriate in position .
    OUTPUT:
    
Moderate pulmonary edema , large left and moderate - to - large right pleural effusions , unchanged since ___ .