Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The heart size is enlarged . Nodular and hazy opacities persist throughout the lungs in this patient with known pulmonary metastases . Prominence of the pulmonary vasculature is present in the upper portions of the lung . The overall appearance of the lungs is worsened compared to the most recent prior exam . Indistinctness of the costophrenic angles also suggests pleural effusion . No pneumothorax is present .
    OUTPUT:
    
Cardiomegaly and pulmonary edema , compatible with heart failure in the appropriate setting ; nodular opacities are concerning for progression of metastatic disease .