Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Severe enlargement of the cardiac silhouette is not substantially changed from the prior study . The aorta remains mildly tortuous and diffusely calcified . Moderate alveolar pulmonary edema is worse in the interval with small bilateral pleural effusions noted . More focal opacities in the lung bases likely reflect areas of atelectasis . No pneumothorax is identified . No acute osseous abnormalities detected .
    OUTPUT:
    
Severe cardiomegaly with moderate pulmonary edema , worse in the interval , and small bilateral pleural effusions . Bibasilar atelectasis .