Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Compared with the prior radiograph , the heart is stably enlarged . Increased interstitial markings and pulmonary vascular congestion suggest interstitial pulmonary edema . There is also a small bilateral pleural effusion . Severe degenerative changes of the right glenohumeral joint are again seen .
    OUTPUT:
    
Findings consistent with mild interstitial pulmonary edema with small bilateral pleural effusions .