Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Lung volumes are low with severe bilateral pulmonary edema as well as moderate bilateral pleural effusions . The cardiomediastinal silhouette is enlarged . No pneumothorax is seen .
    OUTPUT:
    
Low lung volumes with severe bilateral pulmonary edema and moderate bilateral pleural effusions . Aspiration can not be excluded given extensive parenchymal changes .