Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Lung volumes are low . Evaluation of the right lung apex is obscured due to the patient 's chin projecting over this region . The heart size remains moderate to severely enlarged . The aorta is tortuous and aneurysmally dilated , better seen on the prior CT . In the interval , there is worsening pulmonary edema which is now moderate to severe in extent , with increased size of bilateral pleural effusions which are small to moderate on the right and trace on the left . Ill - defined airspace opacities within the lung bases could reflect atelectasis though aspiration or infection can not be excluded . No large pneumothorax is detected , but again the right lung apex is obscured . Mild compression deformity of a lower thoracic vertebral body is again noted as well as within an upper lumbar vertebral body .
    OUTPUT:
    
Worsening congestive heart failure with moderate to severe pulmonary edema , increased size of bilateral pleural effusions , right greater than left , and bibasilar airspace opacities which could reflect atelectasis though aspiration or infection can not be excluded .