Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Diffuse alveolar opacities , hilar enlargement , and increased cardiomegaly , suggest interval development of moderate - to - severe pulmonary edema . There are probable layering bilateral pleural effusions as well . There is no pneumothorax . Median sternotomy wires appear intact . A prosthetic cardiac valve is in unchanged position .
    OUTPUT:
    
New moderate - to - severe pulmonary edema with probable bilateral pleural effusions .