Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Compared with the prior radiograph , there are new bilateral pulmonary alveolar opacities , most pronounced in the right lower lung , as well as increased interstitial lung markings , consistent with pulmonary edema . Small bilateral pleural effusions are also seen . Cardiomegaly is unchanged . Central venous catheter is also unchanged is position , with its tip at the level of the right ventricle . A large hiatal hernia is not as well seen as the prior study , but also present .
    OUTPUT:
    
Findings are most consistent with asymmetrical edema accompanied by bilateral pleural effusions . Considering the asymmetrical distribution , followup radiographs after diuresis may be helpful to exclude superimposed pneumonia in the right lung if warranted clinically .