Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The patient is status post CABG and mitral valve replacement with intact sternotomy wires . The right internal jugular catheter is unchanged in positioning . There has been interval enlargement of the moderate to large left pleural effusion compared to the prior radiograph . There is worsening pulmonary vascular congestion with moderate pulmonary edema . The cardiomediastinal silhouette is stable in size and appearance . No pneumothorax is seen .
    OUTPUT:
    
1 . Right IJ catheter unchanged in positioning . 2 . Interval enlargement of the left pleural effusion . 3 . Increasing vascular congestion and pulmonary edema .