Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The patient has had prior median sternotomy . All sternotomy wires are intact and aligned . A right IJ central venous catheter ends in the mid SVC . There is no pneumothorax . The tip of a left - sided PICC line . Projects over the junction of the SVC and brachiocephalic vein . Moderate layering bilateral pleural effusions with adjacent bibasilar subsegmental atelectasis have increased . Despite low lung volumes , bilateral airspace opacities have developed in the upper lung zones . The heart remains enlarged despite the projection .
    OUTPUT:
    
New pulmonary edema . Increased moderate layering bilateral pleural effusions with adjacent bibasilar subsegmental atelectasis . Stable cardiomegaly .