Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: A right sided dual lumen central venous catheter tip terminates in the right atrium , unchanged . Heart size appears at least moderately enlarged , though difficult to completely assess given the presence of moderate - sized bilateral pleural effusions , not substantially changed in the interval . Worsening moderate pulmonary edema is present . More focal opacities the lung bases may reflect compressive atelectasis . No pneumothorax is identified . There are no acute osseous abnormalities .
    OUTPUT:
    
Worsening moderate pulmonary edema with persistent moderate size bilateral pleural effusions and compressive bibasilar atelectasis .