Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There are bilateral lower lobe predominant interstitial opacities with vascular cephalization and mediastinal and hilar engorgement . Bilateral pleural effusions , left worse than right are present . Streaky retrocardiac opacities likely represent atelectasis . There is significant cardiac enlargement compared with prior exam . Atherosclerotic calcifications of the aortic knob are present . Sternotomy wires , mediastinal clips , and prosthetic aortic valve are redemonstrated and intact .
    OUTPUT:
    
1 . Acute pulmonary edema with associated bilateral pleural effusions . 2 . Significant new cardiomegaly and / or pericardial effusion .