Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is mild to moderate cardiomegaly . There is a moderate left pleural effusion with no right pleural effusion . There is no pneumothorax . Moderate pulmonary edema is seen , worse compared to the most recent prior study but similar compared to the study from ___ . There has been interval removal of the right PICC . Left axillary pacemaker is again noted .
    OUTPUT:
    
1 . Moderate left pleural effusion with moderate pulmonary edema , worsened compared to the most recent prior study . 2 . Mild to moderate cardiomegaly .