Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Moderate pulmonary edema , small left pleural effusion , and right fissural fluid have worsened since the ___ examination . There is no pneumothorax . The heart size is normal . The hilar mediastinal contours are unchanged .
    OUTPUT:
    
Worsened moderate pulmonary edema and bilateral effusions since ___ .