Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Mild interstitial pulmonary edema is unchanged since ___ but increased since ___ in this patient with severe cardiac enlargement mainly of the left atrium . Pleural effusions are small if any . Multiple lung nodules presumed to be metastasis from renal cell cancer were better assessed with recent chest CT .
    OUTPUT:
    
Mild pulmonary edema is unchanged since ___ but worse than ___ .