Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Endotracheal tube terminates 3 .1 cm above the carina . OG tube terminates below the diaphragm . Left IJ central venous catheter terminates in the mid-to - upper SVC . Sternotomy wires are intact . Metallic clip overlies the right mid abdomen . There has been interval increase in left pleural effusion , now large . The left upper and lower lobes are now substantially atelectatic . Indistinct right costophrenic angle is compatible with a small right pleural effusion , and small adjacent atelectasis is present . Pulmonary vasculature appears indistinct , compatible with increased pulmonary edema . No pneumothorax . Heart size appears stable .
    OUTPUT:
    
1 . Increased left pleural effusion , now large , with adjacent left upper and lower lobe atelectasis . Small right pleural effusion with adjacent atelectasis . 2 . Increased pulmonary edema , now moderate .