Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral chest ___ at 11 :50 is submitted .
    OUTPUT:
    
The heart remains markedly enlarged and prominent bilateral pulmonary arteries are again seen suggesting underlying pulmonary arterial hypertension . Overall , the pulmonary edema has somewhat improved although there are residual patchy opacities at both bases which may reflect residual edema or raise concern for superimposed pneumonia or aspiration . Clinical correlation is recommended . A rounded lucency in the right upper lung periphery likely corresponds to able when correlated with a chest CT from ___ . There are small layering effusions . No pneumothorax .