Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: A left - sided PICC line terminates in the lower superior vena cava . There are moderate bilateral pleural effusions which are similar to increased allowing for differences in technique . Coinciding atelectasis is likely in the lower lungs . Fissures are thickened . Pulmonary edema has worsened and is moderate in severity .
    OUTPUT:
    
Findings consistent with moderate pulmonary edema with substantial bilateral pleural effusions .