Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Median sternotomy wires are intact . There are surgical clips in the right axilla . There is an increase in interstitial markings , particularly at the lung bases and worsening opacities , left greater than right . Opacity of the left base obscures the hemidiaphragm and left heart border is due to a combination of increasing moderate pleural effusion and chronic consolidation . Underlying pneumonia is not excluded . The mediastinal contours are unchanged . There is no evidence of large pneumothorax . Moderate cardiomegaly is unchanged .
    OUTPUT:
    
Increasing moderate cardiomegaly , mild pulmonary edema , and moderate left pleural effusion which suggests pericardial effusion may also be present . Updated results telephoned to Dr . ___ by ___ at 8 : 45 am , ___ , 10 minutes after discovery .