Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: A single AP upright view of the chest was obtained . Severe cardiomegaly is unchanged . Diffuse bilateral opacities with perihilar predominance , compatible with mild pulmonary edema , increased compared to the prior examination . Small pleural effusions are possible . Cardiomediastinal contour is unchanged . Calcifications are again noted in the aortic arch . There is no pneumothorax .
    OUTPUT:
    
Severe cardiomegaly and increased mild pulmonary edema with possible small pleural effusions .