Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Cardiac silhouette size is moderately enlarged increased from previous examination . Mediastinal contour is unchanged . There is mild pulmonary edema with increased ill - defined alveolar opacities in the right lung compared to the left , findings which may reflect asymmetric pulmonary edema though superimposed infection is not completely excluded . Streaky retrocardiac opacity may reflect atelectasis . Elevation of the right hemidiaphragm is chronic . There may be trace bilateral pleural effusions , if any . No pneumothorax is seen . Diffuse idiopathic skeletal hyperostosis is noted within the thoracic spine .
    OUTPUT:
    
Mild pulmonary edema with possible trace bilateral pleural effusions . Asymmetric ill - defined alveolar opacities in the right lung compared to the left may be a reflection of asymmetric pulmonary edema though infection is not excluded . RECOMMENDATION ( S ) Follow up radiographs after diuresis are recommended for further assessment .