Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral views of the chest were reviewed . Compared to the prior study there has been interval increase in the interstitial and peripheral opacities combined with small bilateral pleural effusions is consistent with mild to moderate pulmonary edema . In addition , bilateral subpleural changes in the apices indicates emphysema and fibrosis , confirmed on the CT from ___ , which also contributes to the reticular pattern . There is no focal consolidation or pneumothorax . The heart and mediastinal contours are normal . A right - sided subclavian PICC line ends in the right atrium . No concerning osseous or soft tissue lesions .
    OUTPUT:
    
Mild - to - moderate pulmonary edema and small bilateral pleural effusions in a patient with underlying emphysema and fibrosis . No evidence of pneumonia .