Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: An endotracheal tube ends 4 .6 cm from the carina . A right internal jugular central line ends in the mid SVC . There is no pneumothorax . Large bilateral pleural effusions have increased in size from the prior radiograph and obscure large areas of the lungs , particularly in the lower lobes . Overlying devices obscure the upper lobes . Given these limitations , no new consolidations are seen . Stable mediastinal vascular engorgement and mild volume overload is unchanged . Mild enlargement of the cardiomediastinal silhouette is unchanged .
    OUTPUT:
    
1 . Slight increase in bilateral large pleural effusions . 2 . Stable vascular engorgement and mild volume overload .