Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Interval increase size of the pulmonary arteries and increased pulmonary vascular congestion . No frank interstitial pulmonary edema . No acute focal consolidation . Bilateral trace pleural effusions are new . No pneumothorax . The cardiopericardial silhouette is not enlarged .
    OUTPUT:
    
Interval enlargement of bilateral pulmonary arteries . The pulmonary vascular markings have also increase and there are new bilateral effusions . The constellation of findings likely represent volume overload or much less likely bilateral pulmonary embolism , in the appropriate clinical setting .