Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Compared to most recent prior , there has been interval progression of disease . There now bilateral upper lobe regions of consolidation in addition to the previously seen right basilar opacity which persists . There are new small bilateral effusions as well . Cardiac silhouette there is mild to moderately enlarged as on prior .
    OUTPUT:
    
Multi focal central regions of consolidation , progressed since prior and new bilateral effusions . Findings may be related to asymmetric pulmonary edema , infection is also possible .