Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: New bilateral pleural effusions , greater on the right as well as new pulmonary vascular congestion . Unchanged patchy opacities at the right lung apex and left lung base . No pneumothorax identified . The cardiac silhouette is enlarged but unchanged . Coronary vascular calcification . Prominence of the the mid to upper mediastinum may reflect widening of the vascular pedicle or may be technical secondary to patient positioning . Osseous structures suggest underlying renal osteodystrophy .
    OUTPUT:
    
Interval development of fluid overload with new mild pulmonary edema .