Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Frontal and lateral radiographs of the chest demonstrate interval worsening pulmonary edema which is mild to moderate . Small bilateral pleural effusions are new since the prior study . Increase in opacity at the right base may be vascular engorgement or developing concurrent pneumonia . Cardiomediastinal contour is enlarged since the prior study . No pneumothorax .
    OUTPUT:
    
Interval worsening of pulmonary edema and enlargement of cardiac size with development of small bilateral pleural effusions indicative of heart failure . To adequately evaluate for concurrent infection particularly in the right base , follow up radiographs after diuresis are recommended . These findings were discussed with Dr . ___ , by Dr . ___ , at 201 pm , on ___ .