Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: In comparison to most recent study there is interval worsening of pulmonary vascular congestion and pulmonary edema . The cardiomediastinal silhouette slightly more enlarged . The left upper lobe mass is more irregular in appearance which is consistent with surrounding postprocedural hemorrhage as expected . Slight worsening of bilateral pleural effusions and associated compressive atelectasis , right worse than left . No evidence of pneumothoraces . There is mild inflammatory changes of the left shoulder joint .
    OUTPUT:
    
No pneumothorax . Interval worsening of moderate pulmonary edema . Slight worsening of bilateral pleural effusions and atelectasis .