Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: In comparison to the prior radiograph on ___ , interstitial markings are more prominent , likely reflecting pulmonary edema . Trace pleural effusions are noted bilaterally . No pneumothorax . Previously described right upper lobe pleural thickening is less apparent on the current study . Heart size is mildly larger compared to the prior study . Aortic arch calcifications noted . Unchanged splenic granulomas . No acute osseous abnormalities identified .
    OUTPUT:
    
1 . No acute osseous abnormalities identified . If there is persistent clinical concern for a rib fracture , dedicated rib series could be obtained . 2 . Slightly worsening cardiomegaly since ___ , with new interstitial pulmonary edema .