Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Left PICC is noted with tip projecting over the upper SVC as on prior . There is moderate left and likely small right pleural effusion , progressed on the left when compared to prior . There is moderate pulmonary edema . Cardiac silhouette is enlarged but similar . No acute osseous abnormalities .
    OUTPUT:
    
Left greater than right pleural effusions with cardiomegaly and moderate pulmonary edema .