Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Portable AP radiograph of the chest demonstratest the lung volumes are low . There is prominence of the pulmonary vasculature and evidence of moderate pulmonary edema . Multifocal patchy opacities within the right upper and lower lung , and likely within the left lower lung are concerning for superimposed multi focal pneumonia . The heart is moderately enlarged , unchanged to prior studies . There are bilateral pleural effusions , right greater than left . There is prominence of the upper mediastinum , in keeping with known paratracheal and precarinal lymphadenopathy . There is no pneumothorax .
    OUTPUT:
    
Moderate pulmonary edema with multifocal patchy opacities in the right upper and lower lung and likely within the left lower lung concerning for superimposed pneumonia .