Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Portable semi-erect chest film ___ at 05 :29 is submitted .
    OUTPUT:
    
The heart remains enlarged . There are worsening perihilar and basilar opacities which given the symmetry , would favor worsening moderate to severe pulmonary edema rather than an infectious process . Clinical correlation is advised . No pneumothorax is seen . Patient is status post aortic valve replacement .