Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Single AP portable radiograph of the chest . Compared to the prior radiograph , there are new bilateral pleural effusions with increased pulmonary vascularity and an enlarged cardiac silhouette . Again seen are sternotomy wires which are intact . No focal consolidation is identified . No pneumothorax seen .
    OUTPUT:
    
Bilateral pleural effusions with enlarged cardiac silhouette and increased pulmonary vascularity concerning for pulmonary edema . No evidence for focal pneumonia .