Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Compared with the prior radiograph , pulmonary venous engorgement has progressed , as has the degree of pulmonary edema . Tracheostomy is unchanged . Heart size is unchanged . However , pleural effusions have increased in size . Right - sided internal jugular line terminates in the lower SVC , unchanged . Nasoenteric tube courses below the diaphragm . No change in the appearance of the median sternotomy wires , of which the lower to engage only the right sternal fragment . Stable sternal while fragment in the subcutaneous tissues to the left of midline .
    OUTPUT:
    
Compared with the prior radiograph , there is increased degree of pulmonary edema .