Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The support apparatus are unchanged and in standard position . Bilateral pigtail catheters are again seen . There has been interval worsening of the interstitial pulmonary edema and layering pleural effusions . The cardiomediastinal silhouette these compare above . No pneumothorax .
    OUTPUT:
    
Interval worsening of the pulmonary edema , with worsening bilateral pleural effusions .