Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Small bilateral pleural effusions are slightly enlarged since the 5 :56 AM examination . There is new pulmonary vascular congestion and mild pulmonary edema . A left - sided PICC terminates at the lower SVC . There is no pneumothorax .
    OUTPUT:
    
New central pulmonary vascular congestion and mild pulmonary edema , with slight enlargement of small bilateral pleural effusions .