Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: An endotracheal tube terminates 3 .4 cm above the carina . A valve prosthesis , right internal jugular catheter , enteric tube , sternal hardware and axillary clips are unchanged . A left internal jugular catheter is seen within the upper SVC with the tip directed toward the lateral wall . A right pigtail chest tube is directed superiorly . Moderate cardiomegaly is again accompanied by severe diffuse pulmonary edema . Further obscuration of the left hemidiaphragm and left heart border indicates slight worsening . Small bilateral pleural effusions are presumed and unchanged .
    OUTPUT:
    
Severe pulmonary edema , overall worse than prior .